右半结肠癌全结肠系膜切除术47例分析

doi:10.3877/cma.j.issn.2095-3224.2016.02.14

中华结直肠疾病电子杂志 ›› 2016, Vol. 05 ›› Issue (02) : 179 -180. doi: 10.3877/cma.j.issn.2095-3224.2016.02.14

所属专题：经典病例；文献；

经验交流

右半结肠癌全结肠系膜切除术47例分析

张恒春¹^,^†(

), 于伟光¹, 姜晓明², 范东¹

^1. 157011　牡丹江医学院红旗医院普外一科
^2. 牡丹江医学院红旗医院重症医学科

收稿日期:2016-02-14 出版日期:2016-04-25
通信作者: 张恒春
基金资助:
黑龙江省卫生厅课题(2010268)

Analysis of the 47 cases of complete mesocolic excision (CME) for right colon cancer

Hengchun Zhang¹^,^†(), Weiguang Yu¹, Xiaoming Jiang², Dong Fan¹

^1. Department of General Surgery, Hongqi Hospital, Mudanjiang Medical College. Mudanjiang 157011, China
^2. Department of Intensive Care Unit, Hongqi Hospital, Mudanjiang Medical College. Mudanjiang 157011, China

Received:2016-02-14 Published:2016-04-25
Corresponding author: Hengchun Zhang
About author:
Corresponding author: Zhang Hengchun, Email: zhanghengchun-92@163.com

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目的

探讨右半结肠癌完整结肠系膜切除（complete mesocolic excision，CME）在临床手术治疗中的应用。

方法

回顾性分析我科2012年7月至2014年9月间手术治疗的47例右半结肠癌行CME治疗患者的临床资料。

结果

47例均行CME，手术顺利，无副损伤出现，中位淋巴结清扫数为18枚，Ⅲ期病人系膜根部淋巴结阳性率为25.53%（12/47），手术时间、出血量及并发症与我院以往的传统手术相比并无明显增加。

结论

CME能够使右半结肠癌根治更合理化，系膜和淋巴结切除的更彻底，尤其是系膜根部的淋巴结清扫的更彻底，使Ⅲ期病人获益更大，而手术风险及并发症并无增加。因此，CME值得在临床中推广。

关键词: 结肠肿瘤, 外科手术, 完整结肠系膜切除, 淋巴结清扫

Objective

To investigate the therapeutic effect of complete mesocolic excision (CME) for right colon cancer.

Methods

The data of 47 cases of right colon cancer performed elective CME by the same group of surgeons between July 2012 and September 2014 at Mudanjiang University Hongqi Hospital General Surgery Department were analyzed retrospectively.

Results

Among the 47 cases with CME. The operation smoothly and no vice injury. The median number of total lymph nodes retrieved was 18. Twelve (25.53%) cases of stage III had the positive lymph nodes in or over mesenteric root. The operation time, the volume of intraoperative blood and the overall postoperative complication rates compared to traditional surgery without apparent increase.

Conclusions

By complete mesocolic excision, the integrated radical resection for right colon cancer could be more successfully. The mesentery and lymphoid tissue could be eliminated maximally, especially lymph nodes in mesenteric root. The complete mesocolic excision could be more benefit of stage III patient and without more surgical risk and complication. Therefore, the CME is worth popularization in clinical.

Key words: Colon neoplasms, Surgical procedures, operative, Complete mesocolic excision (CME), Lymph nodes eliminate

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