PDF(434 KB)
结肠癌完整结肠系膜切除——规范化质量控制手术的趋势
Chinese Journal of Practical Surgery ›› 2011, Vol. 31 ›› Issue (06) : 470-472.
PDF(434 KB)
PDF(434 KB)
Complete mesocolic excision:a new trend of standardization of colon cancer surgery with high quality YE Ying-jiang*, Hohenberger W, WANG Shan. *Department of Gastroenterological Surgery, Peking University People’s Hospital, Beijing100044, China
Corresponding author:WANG Shan, E-mail: shwang60@sina.com
Abstract Total mesorectal excision has become the most widely standardization surgical technique of rectal cancer in the world, but it is still lack of standardized operation for colon cancer. Complete mesocolic excision as a new concept in colon cancer surgery was first proposed by professor Hohenberger from German, which corresponded to the feature of the tumor and was based on the embryology and anatomy. Some research about complete mesocolic excision showed that the procedure could improve the prognosis, decrease the local recurrence of the tumor without more complication. The key points of complete mesocolic excision are as below: dissecting sharply between the visceral fascia and parietal fascia, highly ligaturing the supplying vessel, guaranteeing the reasonable lymphadenectomy areas. Complete mesocolic excision might become a new standardized operation of colorectal cancer based on the random prospective clinical trial in multiple centers.
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