Yong Cheng, G. Han, Yan-hui Gu, Shijia Zhang, K. Hua, Wang Zhenlei
{"title":"右半结肠切除联合胰十二指肠切除术治疗结肠癌癌症(T4b)患者的肠系膜上静脉识别中线入路","authors":"Yong Cheng, G. Han, Yan-hui Gu, Shijia Zhang, K. Hua, Wang Zhenlei","doi":"10.3760/CMA.J.ISSN.1007-631X.2020.01.001","DOIUrl":null,"url":null,"abstract":"Objective \nTo explore the safety and efficacy of middle line approach identified with superior mesenteric vein in the right hemicolectomy combined with pancreaticoduodenectomy for colonic carcinoma involing liver and duodenun. \n \n \nMethods \nClinical data of 13 patient′s with right colonic cancer(T4b) undergoing right hemicolectomy combined with pancreaticoduodenectomy from Jan 2016 to Jul 2019 in He′nan Provincial Tumor Hospital were retrospectively analyzed. The superior mesenteric vein was used to mark the medial border of tumor resection. Vertical cutline was made to transverse mesocolon and all the way done to the root of superior mesenteric vein, the pancreas was cut in front of superior mesenteric vein, superior mesenteric artery and the affiliated lymph nodes were dissected. The stomach and pancreas were transected, the specimen was removed. Then the GI tract was reconstructed. \n \n \nResults \nSurgery was successful in all 13 patients . The operation time was (249±27) min, blood loss was (442±129)ml, 2 cases suffered pancreatic fistula, there was no biliary fistula, and 1 case of delayed gastric emptying. There were no other major complications. The number of lymph node dissection was (20±4) and hospital stay was (23.2±9.4) d. \n \n \nConclusions \nIt is safe and feasible to use the superior mesenteric vein-identified middle line approach in patients of right colonic cancer undergoing right hemicolectomy plus pancreaticoduodenectomy. \n \n \nKey words: \nColonic neoplasms; Mesenteric veins; Pancreaticoduodenectomy; Colectomy","PeriodicalId":66425,"journal":{"name":"中华普通外科杂志","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2020-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Superior mesenteric vein-identified middle line approach in patients of colonic cancer(T4b) undergoing right hemicolectomy combined with pancreaticoduodenectomy\",\"authors\":\"Yong Cheng, G. Han, Yan-hui Gu, Shijia Zhang, K. Hua, Wang Zhenlei\",\"doi\":\"10.3760/CMA.J.ISSN.1007-631X.2020.01.001\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Objective \\nTo explore the safety and efficacy of middle line approach identified with superior mesenteric vein in the right hemicolectomy combined with pancreaticoduodenectomy for colonic carcinoma involing liver and duodenun. \\n \\n \\nMethods \\nClinical data of 13 patient′s with right colonic cancer(T4b) undergoing right hemicolectomy combined with pancreaticoduodenectomy from Jan 2016 to Jul 2019 in He′nan Provincial Tumor Hospital were retrospectively analyzed. The superior mesenteric vein was used to mark the medial border of tumor resection. Vertical cutline was made to transverse mesocolon and all the way done to the root of superior mesenteric vein, the pancreas was cut in front of superior mesenteric vein, superior mesenteric artery and the affiliated lymph nodes were dissected. The stomach and pancreas were transected, the specimen was removed. Then the GI tract was reconstructed. \\n \\n \\nResults \\nSurgery was successful in all 13 patients . The operation time was (249±27) min, blood loss was (442±129)ml, 2 cases suffered pancreatic fistula, there was no biliary fistula, and 1 case of delayed gastric emptying. There were no other major complications. The number of lymph node dissection was (20±4) and hospital stay was (23.2±9.4) d. \\n \\n \\nConclusions \\nIt is safe and feasible to use the superior mesenteric vein-identified middle line approach in patients of right colonic cancer undergoing right hemicolectomy plus pancreaticoduodenectomy. \\n \\n \\nKey words: \\nColonic neoplasms; Mesenteric veins; Pancreaticoduodenectomy; Colectomy\",\"PeriodicalId\":66425,\"journal\":{\"name\":\"中华普通外科杂志\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2020-01-25\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"中华普通外科杂志\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.3760/CMA.J.ISSN.1007-631X.2020.01.001\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"中华普通外科杂志","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.3760/CMA.J.ISSN.1007-631X.2020.01.001","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Superior mesenteric vein-identified middle line approach in patients of colonic cancer(T4b) undergoing right hemicolectomy combined with pancreaticoduodenectomy
Objective
To explore the safety and efficacy of middle line approach identified with superior mesenteric vein in the right hemicolectomy combined with pancreaticoduodenectomy for colonic carcinoma involing liver and duodenun.
Methods
Clinical data of 13 patient′s with right colonic cancer(T4b) undergoing right hemicolectomy combined with pancreaticoduodenectomy from Jan 2016 to Jul 2019 in He′nan Provincial Tumor Hospital were retrospectively analyzed. The superior mesenteric vein was used to mark the medial border of tumor resection. Vertical cutline was made to transverse mesocolon and all the way done to the root of superior mesenteric vein, the pancreas was cut in front of superior mesenteric vein, superior mesenteric artery and the affiliated lymph nodes were dissected. The stomach and pancreas were transected, the specimen was removed. Then the GI tract was reconstructed.
Results
Surgery was successful in all 13 patients . The operation time was (249±27) min, blood loss was (442±129)ml, 2 cases suffered pancreatic fistula, there was no biliary fistula, and 1 case of delayed gastric emptying. There were no other major complications. The number of lymph node dissection was (20±4) and hospital stay was (23.2±9.4) d.
Conclusions
It is safe and feasible to use the superior mesenteric vein-identified middle line approach in patients of right colonic cancer undergoing right hemicolectomy plus pancreaticoduodenectomy.
Key words:
Colonic neoplasms; Mesenteric veins; Pancreaticoduodenectomy; Colectomy