摘要
微创手术在腹腔镜平台发展已有30年之久,在消化道手术领域腹腔镜技术已进入成熟阶段。微创外科的近期发展在于对手术入路及解剖等进一步加以规范与推广,以及3D、4K等针对显像技术硬件设备的创新与开发。腹腔镜下尾侧-中间联合入路右半结肠癌根治术自回盲部背侧为起始点先行完成右半结肠系膜的后间隙游离,并结合传统中间入路进一步清扫系膜根部淋巴结。尾侧-中间联合入路可从不同角度完成右半结肠的系膜解剖,可帮助主刀医师完成右结肠后间隙的拓展,可成为手术医师首选的手术入路之一。
Minimally invasive surgery has been developed in laparoscopic platform for 30 years, and laparoscopic technology has entered a mature stage in the field of gastrointestinal surgery. Development of laparoscopic surgery in recent years was based on two points: the further standardization and popularization of surgical approach and anatomy;the innovation and development of display plat from (i.e, Three-dimensional display, 4K Ultra HD). Starting point of Caudal-to-Medial approach laparoscopic right hemicolectomy was from the posterior space of ileocecal junction. Dissection of posterior space of right mesocolon was performed, and lymph nodes dissection of the vascular root was performed combined with traditional medial approach. Caudal-to-Medial approach could assist the surgeon to complete the anatomizing the right mesocolon, and it also could assist to complete the extension of posterior space of right hemicolon. Caudal-to-Medial approach could be one of the preferred surgical approaches for surgeons.
作者
郑民华
Zheng Minhua(Department of General Surgery,Ruijin Hospital Affiliated to Shanghai Jiaotong University Medical College,Shanghai 200025,China)
出处
《中华普外科手术学杂志（电子版）》
2019年第5期448-448,共1页
Chinese Journal of Operative Procedures of General Surgery(Electronic Edition)
基金
国家重点研发计划(2017YFC0110801)
国家高新技术研究发展计划项目(2012AA021103)
上海市科委启明星计划项目(96QB14019)~~
关键词
结肠肿瘤
腹腔镜检查
手术入路
Colonic neoplasms
Laparoscopy
Surgical approach
