中华普外科手术学杂志(电子版)2024,Vol.18Issue(1) :9-13.DOI:10.3877/cma.j.issn.1674-3946.2024.01.003

腹腔镜右半结肠癌D3根治术消化道吻合重建方式的选择

Choice of digestive tract reconstruction after laparoscopic right colectomy of colon cancer

周岩冰 刘晓东
中华普外科手术学杂志(电子版)2024,Vol.18Issue(1) :9-13.DOI:10.3877/cma.j.issn.1674-3946.2024.01.003

腹腔镜右半结肠癌D3根治术消化道吻合重建方式的选择

Choice of digestive tract reconstruction after laparoscopic right colectomy of colon cancer

周岩冰 1刘晓东1
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作者信息

  • 1. 266003 山东青岛,青岛大学附属医院胃肠外科
  • 折叠

摘要

腹腔镜右半结肠D3根治术目前被认为是右半结肠癌的标准治疗方法,右半结肠切除后消化道吻合重建方式目前主要分为腹腔外回肠-结肠吻合(EIA)及腹腔内回肠-结肠吻合(ⅡA).EIA吻合技术上操作更简单.由于整个ⅡA在腹腔内进行,因此具有肠道功能恢复快、切口小等优点.然而,ⅡA耗时长且技术难度大,限制了它的广泛使用,而且腹腔内吻合是否增加术后腹腔感染及吻合口漏的发生,尚未澄清.因此,目前重建方式的选择仍存在争议.本文将阐述腹腔镜右半结肠癌D3根治术消化道吻合重建方式及临床效果,旨在为临床医生的选择提供更多参考.

Abstract

Laparoscopic right colectomy is considered to be the standard treatment of colon cancer,the digestive tract reconstruction after resection divides into extracorporeal ileocolic anastomosis(EIA)and intracorporeal anastomosis ileocolic anastomosis(ⅡA);EIA is simple to perform,whiles the ⅡA is performed in the abdominal cavity,which leads to fast intestinal function recovery and small incision.However,ⅡA is time-consuming and difficult in technically,which limit the widespread use,and it is not clear whether intraperitoneal anastomosis increases the incidence of postoperative intra-abdominal infection and anastomotic leakage.Therefore,the choice of reconstruction is still controversial.This article will describe the methods and clinical results of digestive tract reconstruction after laparoscopic right colectomy,in order to provide more references for clinicians.

关键词

结肠肿瘤/腹腔镜/右半结肠切除术/消化道重建

Key words

Colonic Neoplasms/Laparoscopes/Right Colectomy/Digestive Tract Reconstruction

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基金项目

山东省自然科学基金(ZR2021MH001)

出版年

2024
中华普外科手术学杂志(电子版)
中华医学会

中华普外科手术学杂志(电子版)

CSTPCD
影响因子:1.461
ISSN:1674-3946
参考文献量21
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