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中华结直肠疾病电子杂志 ›› 2020, Vol. 09 ›› Issue (06) : 541 -545. doi: 10.3877/cma.j.issn.2095-3224.2020.06.001

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肠系膜下动脉结扎部位的历史衍变与当前争论
安柯1, 雷福明1,(), 王文跃2,()   
  1. 1. 100144 北京大学首钢医院胃肠外科
    2. 100029 北京,中日友好医院普通外科
  • 收稿日期:2020-03-23 出版日期:2020-12-25
  • 通信作者: 雷福明, 王文跃
  • 基金资助:
    石景山区医学重点支持专科项目(No. 2018003)

The historical evolution and the current debate of the ligation site of the inferior mesenteric artery

Ke An1, Fuming Lei1,(), Wenyue Wang2,()   

  1. 1. Department of Gastrointestinal Surgery, Peking University Shougang Hospital, Beijing 100144, China
    2. Department of General Surgery, China-Japan Friendship Hospital, Beijing 100029, China
  • Received:2020-03-23 Published:2020-12-25
  • Corresponding author: Fuming Lei, Wenyue Wang
  • About author:
    Corresponding authors: Lei Fuming, Email:
    Wang Wenyue, Email:
引用本文:

安柯, 雷福明, 王文跃. 肠系膜下动脉结扎部位的历史衍变与当前争论[J/OL]. 中华结直肠疾病电子杂志, 2020, 09(06): 541-545.

Ke An, Fuming Lei, Wenyue Wang. The historical evolution and the current debate of the ligation site of the inferior mesenteric artery[J/OL]. Chinese Journal of Colorectal Diseases(Electronic Edition), 2020, 09(06): 541-545.

在直肠癌手术过程中,肠系膜下动脉(IMA)的结扎是一关键步骤,然而关于IMA结扎部位的选择却已经争论了百年余,不论是高位结扎还是低位结扎均有其各自的优缺点。在不同的时期内人们对选择何种结扎方式有着不同的意见,并且一直消长不停,现为更加明确两种结扎方式的由来以及历史衍变,本文进行溯源及阐述。

In rectal cancer surgery, ligation of the inferior mesenteric artery (IMA) was one of the key steps. Nevertheless, the level of the ligation of the IMA has been debated for hundred years. Whether it is high ligation or low ligation has its advantages and disadvantages. People have different opinions on the choice of ligation method in different periods, and the debates on this subject waxed and waned all the time. In order to clarify the origin and historical evolution of the two ligation methods, a review is given to trace the origin and elaborate the current situation.

图1 大肠的淋巴结分类。红:肠旁淋巴结,蓝:中间淋巴结,黄:主淋巴结(侧方淋巴结),白:较主淋巴结更中枢的淋巴结,灰色:其他淋巴结
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