关键词: 结肠肿瘤, 腹腔镜, 淋巴结清扫, 右半结肠癌, D3根治术

Abstract: Paying great attention to the standardized implementation of laparoscopic D3 radical operation for right colon cancer        WANG Zhen-ning, XING Ya-nan, WANG Zhe, et al. Department of Surgical Oncology and General Surgery, the First Affiliated Hospital of China Medical University, Shenyang 10001, China
Corresponding author:WANG Zhen-ning,E-mail：znwang@
cmu.edu.cn
Abstract    Laparoscopic radical resection of right colon cancer has experienced continuous exploration from D2, D3, and complete mesocolic excision (CME) to D3 + CME surgery based on membrane anatomy, which is widely recognized in China. Although the surgical technique is becoming more and more mature, due to the complex anatomy of right colon cancer and the variation of vascular anatomy, the operation is still difficult and technically demanding. In terms of some details in the surgical process, such as the choice of surgical approach, the definition of the medial border of lymph node resection, the understanding of key vascular anatomical variations, and the choice of anastomosis methods, have become the focus of current debate. Clinicians should pay attention to the safety and difficulties of surgery and constantly discuss and resolve relevant disputes in order to make laparoscopic D3 radical resection of right colon cancer in our country more standardized, accurate, and safe.

Key words: colon neoplasm, laparoscopic surgery, lymph node excision, right colon cancer, D3 radical operation