腹腔镜左半结肠切除术的团队配合
Team coordination in laparoscopic left hemicolectomy
葛新斌 1庄颖 2张佳宇 1谢忠士1
作者信息
- 1. 吉林大学中日联谊医院胃肠结直肠外科 吉林长春 130033
- 2. 梅河口市中心医院麻醉科 吉林通化 135099
- 折叠
摘要
左半结肠解剖层次复杂,毗邻胰腺、脾脏和肾脏等重要器官,其血管和淋巴回流多变,因此,腹腔镜左半结肠切除术操作难度较大,不仅对术者的要求较高,也要求助手和扶镜手对左半结肠的解剖层次有一定了解,具备熟练的腹腔镜操作技巧.本文以降结肠癌为例,结合文献资料和笔者团队的临床实践经验,对腹腔镜左半结肠切除术的团队配合经验进行阐述,以期与同道交流.
Abstract
The anatomical hierarchy of the left colon is complex,adjacent to important organs such as the pancreas,spleen,and kidneys,and its blood vessels and lymphatic reflux are variable.Therefore,laparoscopic left hemicolectomy is difficult to operate,requiring not only high requirements for the surgeon but also assistants and mirror holders to have a certain understanding of the anatomical hierarchy of the left colon and proficient laparoscopic operation skills.This ar-ticle takes descending colon cancer as an illustrative example,combined with literature and the clinical practice experi-ence of the author's team,to elaborate on the team cooperation experience of laparoscopic left hemicolectomy,and to communicate with colleagues.
关键词
左半结肠癌/助手/扶镜手/结肠脾曲/降结肠/乙状结肠Key words
left colon cancer/assistant/mirror holder/colonic splenic flexure/descending colon/sigmoid colon引用本文复制引用
出版年
2024
国家科技期刊平台
NSTL
万方数据