腹腔镜同时性多原发结直肠癌根治术
Laparoscopic colectomy for synchronous multiple primary colorectal carcinoma
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摘要: 同时性多原发结直肠癌(SCC)临床较少见，其发病率呈上升趋势，目前无固定外科手术模式, 需根据肿瘤的位置、范围、间距及患者的综合情况等决定。全直肠系膜切除术(TME)及完整结肠系膜切除术(CME)已被公认为是直肠癌及结肠癌的标准化手术方式。2010年8月至2013年5月惠州市第一人民医院运用腹腔镜技术结合TME及CME手术技术，开展了3例腹腔镜SCC根治术，总结出默契的团队配合、精准的手术平面把握、熟练的血管裸化技术及完整的结直肠系膜切除是手术成功的保障，腹腔镜SCC根治术安全可行。Abstract: Synchronous multiple primary colorectal carcinoma (SCC) is rarely seen in the clinical practice, while it has a increasing tendency of incidence. The surgical treatment of SCC has not been normalized. The extent of resection should be individually determined according to the lesion location, range, the distance of lesions and the general condition of the patients. Total mesorectal excision (TME) and complete mesocolic excision (CME) were recognized as the standardized surgical treatment for SCC. From August 2010 to May 2013, 3 patients with SCC received laparoscopic radical resection for SCC at the Huizhou First People′s Hospital. Based on the clinical practice, we concluded that having a tacit teamwork, grasping the precise surgical plane, using skilled technology of dissecting blood vessel and excising the total mesentery of colorectum are guarantees for successful operation. Laparoscopic colectomy for SCC is feasible and safe.
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