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中华结直肠疾病电子杂志 ›› 2013, Vol. 02 ›› Issue (01) : 6 -9. doi: 10.3877/cma.j.issn.2095-3224.2013.01.02

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从胚胎和解剖学角度认识完整结肠系膜切除术
王杉1()   
  1. 1. 100044 北京大学人民医院胃肠外科
  • 收稿日期:2012-12-05 出版日期:2013-02-25
  • 通信作者: 王杉

Understanding the anatomical and embryological basis of complete mesocolic excision

Shan WANG1,()   

  1. 1. Department of Gastroenterological Surgery, Peking University People's Hospital, Beijing 100044, China
  • Received:2012-12-05 Published:2013-02-25
  • Corresponding author: Shan WANG
  • About author:
    Corresponding author: WANG Shan, Email:
引用本文:

王杉. 从胚胎和解剖学角度认识完整结肠系膜切除术[J/OL]. 中华结直肠疾病电子杂志, 2013, 02(01): 6-9.

Shan WANG. Understanding the anatomical and embryological basis of complete mesocolic excision[J/OL]. Chinese Journal of Colorectal Diseases(Electronic Edition), 2013, 02(01): 6-9.

随着现代手术技术的进步和规范,结肠癌的手术治疗因其标准的不统一,越发体现出其不足。不同的操作方式达到的切除效果及预后生存均有差异。完整结肠系膜切除术因为其较高的标本系膜完整切除比例,逐渐成为结肠癌规范化手术的新理念。笔者从胚胎和解剖学角度阐述完整结肠系膜切除术的理论依据及其手术方式。

As the progress and standardization of the modern surgical techniques, the nonstandard surgical methods of colon cancer shows more and more disadvantages.There are significant differences in resection efficacy and prognosis between different methods.The complete mesocolic excision(CME)is gradually accepted as a new standard because of its high complete mesocolic resection rate.This article analyzed the anatomical and embryological basis of complete mesocolicexcision, and expressed the views of the author.

图1 完整结肠系膜切除术的手术操作层面示意图
图2 活体切除升结肠及系膜标本的脏层筋膜结构
图3 尸体升结肠系膜后方局部解剖示意图
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