中国实用外科杂志

中国实用外科杂志 ›› 2011, Vol. 31 ›› Issue (06): 463-465.

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加强结肠癌手术规范化实施

王    杉， 叶颖江   

  1. 北京大学人民医院胃肠外科，北京100044
  • 出版日期:2011-06-01 发布日期:2011-05-24

  • Online:2011-06-01 Published:2011-05-24

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摘要：

全直肠系膜切除手术是直肠癌规范化手术的重大进步，手术规范化使直肠癌预后得到提高。但是，结肠癌手术方式进展并不显著，尽管化疗药物不断更新，进展期结肠癌病人预后并无较大改善。随着临床实践的积累， 人们逐渐认识到结肠癌手术尚需进一步科学化、规范化。完整结肠系膜切除（complete mesocolic excision，CME）是进展期结肠癌手术方式的新理念，初步研究认为可改善进展期结肠癌预后。但无论何种结肠癌手术方式均需遵循如下原则：依胚胎解剖学基础，直视下精细操作；切实按照肿瘤学原则进行手术，最大程度降低复发转移率；重视多学科协作，促进结肠癌手术的规范化。结肠癌手术规范化是结肠肿瘤获得根治的保证，是结肠癌病人获益于手术的必要条件。

关键词: 结肠癌, 结肠癌完整系膜切除术

Abstract:

Enhance the standardization practice of colon cancer surgery        WANG Shan, YE Ying-jiang. Department of Gastroenterological Surgery, Peking University People’s Hospital, Beijing 100044,China
Corresponding author: WANG Shan, E-mail: shwang60@sina.com
Abstract    Total mesorectal excision has contributed greatly to standardization of rectal cancer operation, which improves the prognosis of rectal cancer patients. However, although regiment of chemotherapy updated rapidly, the technique of colon cancer surgery proceed so slowly that the prognosis of colon cancer has less progress. Complete mesocolic excision (CME) is a new concept of colon cancer surgery, which might improve the outcomes of patients with colon cancer. Moreover, whatever procedure of colon cancer operation must obey the principles as below: operating precisely based on the anatomy and embryology; performing during operation according to the oncological principle to decrease the recurrence of the tumor; paying more attention to the multi-disciplinary collaboration to promote the standardization of the colon cancer operation. The standardization of the colon cancer operation warrants the radical resection of the colon cancer, which is essential to make patients benefit from the surgery.

Key words: colon cancer, complete mesocolic excision