一步一步的单端口 retroperitoneal右半角切除术与D3淋巴结剖析用于右结肠癌
Sergey K Efetov1, Polina D Panova1, Yaroslav P Krasnov1
1Department of Faculty Surgery N2 of N.V. Sklifosovsky Clinical Medicine Institute, I.M. Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russian Federation.
Turkish journal of surgery
|January 21, 2026
概括
在复杂的病例中,Retroperitoneal right hemicolectomy为结肠癌提供了一个微创的选择,即使在复杂的病例中也是如此. 这种方法扩大了那些不适合传统腹腔镜的患者的手术选择.
科学领域:
- 手术瘤学手术瘤学
- 最少侵入性的手术
背景情况:
- 与结肠癌的开放性手术相比,微创右侧半结肠切除术显示出更好的结果.
- 传统的腹腔镜在患有高BMI,粘附或心肺疾病的患者中可能具有挑战性.
研究的目的:
- 为了呈现一个 retroperitoneal 方法的右半球切除术.
- 为了证明D3淋巴结解剖和血管绑定在不进入腹腔的情况下的可行性.
主要方法:
- 在右半球切除术中采用了背形方法.
- 关键的手术步骤,包括动员,D3淋巴结解剖和血管绑定,都是通过体进行的.
主要成果:
- 逆关节的方法成功地促进了主要的手术步骤.
- 这种技术保留了微创手术的好处,同时解决了传统腹腔镜的局限性.
结论:
- 在复杂的病例中,逆上皮右半球切除术是可行的替代方案.
- 这种方法扩大了结肠癌手术的最小侵入性选择.
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