中国实用外科杂志 ›› 2023, Vol. 43 ›› Issue (10): 1136-1139.DOI: 10.19538/j.cjps.issn1005-2208.2023.10.13

• 专题笔谈 • 上一篇    下一篇

腹腔镜右半结肠癌手术腔内吻合操作要点

林国乐,李干斌   

  1. 中国医学科学院   北京协和医学院 北京协和医院基本外科,北京  100730
  • 出版日期:2023-10-01 发布日期:2023-10-22

  • Online:2023-10-01 Published:2023-10-22

摘要: 消化道重建是右半结肠癌手术的关键之处。在完全腹腔镜背景下,腔内吻合更加符合微创化、疼痛和不适感更轻、术后恢复更快的加速康复外科理念,可能会成为腹腔镜右半结肠癌手术的首选吻合方式。在吻合过程中,需注意“点-线-面”的有机统一,即以戳口处为点,吻合钉为线,横结肠及回肠并行排列构成面,点在线上,线在面上,完成高质量的吻合。

关键词: 右半结肠癌, 腹腔镜, 腔内吻合

Abstract: The surgical techniques of intracorporeal anastomosis in laparoscopic right hemicolectomy        LIN Guo-le, LI  Gan-bin. Department of General Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China
Corresponding author: LIN Guo-le,E-mail:linguole@126.com  
Abstract    Reconstruction of the digestive tract is a cruical part in right hemicolectomy. In the context of complete laparoscopy, intra-corporeal anastomosis might become the preferred procedure for laparoscopy right hemicolectomy, with the advantages of minimally invasive, decreased feeling of pain and discomfort, and in accordance with the conception of faster-recovery surgery as well.In the anastomosis, attention should be paid to the priciples of "point-line-surface", that is, the puncture point is the point, the anastomosis nail is the line, and the transverse colon and ileum are arranged in parallel, with the point on the line and the line on the surface, so as to complete a high-quality anastomosis.

Key words: right-sided colon cancer, laparoscopy, intra-corporeal anastomosis