一篇叙述性的综述:完全肠系膜切除在右侧结肠癌切除术-目前的范例和未来的方向

IF 0.5 4区 医学 Q4 SURGERY Annals of Laparoscopic and Endoscopic Surgery Pub Date : 2023-10-01 DOI:10.21037/ales-23-4
Retnagowri Rajandram, Tak Loon Khong, Nora Abdul Aziz, Mohamed Rezal Abdul Aziz, April Camilla Roslani
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引用次数: 0

摘要

背景与目的:在结肠癌手术中,完全肠系膜切除术(CME)被认为可以获得更好的肿瘤预后,但在直肠癌中,右侧结肠切除术的采用并不像直肠全肠系膜切除术(TME)那样彻底,而且技术也不标准化。此外,早期研究中较高的术中并发症率限制了其在常规外科实践中的广泛应用。我们的目的是确定文献是否支持CME在右侧结肠癌切除术中的普遍应用或选择性应用。
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A narrative review: complete mesocolic excision in right-sided colonic cancer resections—present paradigm and future directions
Background and Objective: Complete mesocolic excision (CME) is thought to achieve better oncological outcomes in colon cancer surgery, but adoption in right-sided colon resections has not been as complete as total mesorectal excision (TME) in rectal cancers, and the technique is not as standardized. In addition, higher rates of intra-operative complications in early studies have limited its wide-scale adoption in routine surgical practice. We aim to determine if the literature supports a universal or selective application of CME in right-sided colonic cancer resections.
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