Application of preserving left colic artery in radical resection of rectal cancer
作者:李锦宏,曾兵,黄闻东,曾军
单位:广州医科大学附属第六医院,广东
清远 511518
Authors: Li Jinhong, Zeng Bing, Huang Wendong,
Zeng Jun
Unit: Sixth Affiliated Hospital of
Guangzhou Medical University, Qingyuan 511518, Guangdong, China
摘要:
目前直肠癌的治疗以手术为主,全直肠系膜切除(total mesorectal excision, TME)原则已成为中下段直肠癌手术治疗的标准术式,但对于肠系膜下动脉(Inferior Mesenteric Artery, IMA)的处理方式仍存在争议。IMA的处理方式主要分为保留左结肠动脉的低位结扎和不保留左结肠动脉的高位结扎。本文结合国内外相关文献对直肠癌根治术中保留左结肠动脉的应用进展进行综述。
关键词: 直肠癌; 左结肠动脉; 高位结扎; 低位结扎
Abstract:
At present, surgery is the main treatment of rectal cancer. The
principle of total mesorectal resection (TME)has become the standard operation
for middle and lower rectal cancer, but there is no consensus on the management
of inferior mesenteric artery (IMA)which is mainly divided into low ligation with
left colic artery and high ligation without left colic artery. In this paper,
the application of preserving left colon artery during radical resection of
rectal cancer was reviewed in combination with relevant literatures at home and
abroad.
Key Words: Rectal cancer; Left colic
artery; High ligation; Low ligation
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