中国实用外科杂志

中国实用外科杂志 ›› 2012, Vol. 32 ›› Issue (09): 706-708.

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从腹盆腔系膜、筋膜、间隙解剖谈结直肠癌规范化外科治疗

叶颖江，王    杉   

  1. 北京大学人民医院胃肠外科，北京 100044
  • 出版日期:2012-09-01 发布日期:2012-08-29

  • Online:2012-09-01 Published:2012-08-29

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摘要：

结直肠精细外科需要有丰富的解剖学知识。已经建立的直肠癌全直肠系膜切除（TME）就是很好的实例。近5年来，完整结肠系膜切除（CME）和低位直肠癌肛提肌外腹会阴联合切除术（ELAPE）的开展逐渐普及。与TME一样，CME和ELAPE均以精细解剖为基础。在结直肠外科中，相关的系膜、筋膜和间隙起着重要作用，而其命名在临床和解剖学尚有差异。本文试图清楚描述结直肠外科相关的腹盆腔系膜、筋膜和间隙，并讨论其外科意义。

关键词: 结直肠, 系膜, 筋膜, 间隙

Abstract:

The effect of abdominal and pelvic mesentery ,fascia and space on the standardized surgery of colorectal cancer           YE Ying-jiang, WANG Shan. Department of Gastroenterology Surgery, Peking University People’s Hospital, Beijing 100044, China
Corresponding author: YE Ying-jiang, E-mail: yjye101@sina.com
Abstract    The precise colorectal surgery requires adequate knowledge of the anatomy. An important example is rectal cancer surgery with the established gold standard of total mesorectal excision(TME).  In recent 5 years,  the complete mesocolic excision(CME) for colon cancer and extralevator abdominoperineal excision(ELAPE)  for low rectal cancer are gradually performed. Like TME, both CME and ELAPE are also based on precise anatomy. In colorectal surgery, the  mesentery，fascia and space, which name are varied at anatomy and surgery，play important role on standardized colorectal surgery.  This article try to describe clearly the abdominal and pelvic mesentery, fascia and space related colorectal surgery and their surgical value.

Key words: colorectum ; , mesentery; , fascia; , space