腹腔镜下无夹切断右结肠上静脉在治疗右侧横断面结肠癌中的应用

Q4 Medicine

Surgery, Gastroenterology and Oncology Pub Date : 2021-01-01 DOI:10.21614/sgo-26-4-286

Hidejiro Kawahara, N. Omura, T. Akiba

{"title":"腹腔镜下无夹切断右结肠上静脉在治疗右侧横断面结肠癌中的应用","authors":"Hidejiro Kawahara, N. Omura, T. Akiba","doi":"10.21614/sgo-26-4-286","DOIUrl":null,"url":null,"abstract":"Background: Clips are commonly used to divide vessels in laparoscopic surgery. However, branches of the superior mesenteric vein (SMV), including the superior right colic vein (SRCV), are narrow, and the clips are too large to be used for these veins. During surgery, there is concern about the risk of bleeding due to vascular injury, as well as when detaching the clips after the procedure. Patients and Methods: From January 2014 to December 2016, six patients with right side transverse colon cancer underwent clipless laparoscopic surgery were enrolled in this study. After skeletonizing around the roots of the SRCVs, they were divided at their roots only by LigaSure, without the use of clips. Results: The mean operative time was 136 min (range 114-160), the mean operative blood loss was less than 10 ml, and no bleeding at the stump of the SRCV was confirmed during surgery. The mean length of hospitalization after surgery was 10 days, and no complications were encountered after surgery. No recurrence was found more than three years after surgery. Conclusion: Clipless laparoscopic division of the SRCV is a useful procedure for patients with right side transverse colon cancer. the superior colic the are to for the of due to vascular injury, when the clips after the procedure; a clipless We performed a novel procedure: a clipless laparoscopic partial colectomy for right side transverse colon cancer.","PeriodicalId":22101,"journal":{"name":"Surgery, Gastroenterology and Oncology","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Usefulness of Clipless Laparoscopic Division of Superior Right Colic Vein for Right Side Transverse Colon Cancer\",\"authors\":\"Hidejiro Kawahara, N. Omura, T. Akiba\",\"doi\":\"10.21614/sgo-26-4-286\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Background: Clips are commonly used to divide vessels in laparoscopic surgery. However, branches of the superior mesenteric vein (SMV), including the superior right colic vein (SRCV), are narrow, and the clips are too large to be used for these veins. During surgery, there is concern about the risk of bleeding due to vascular injury, as well as when detaching the clips after the procedure. Patients and Methods: From January 2014 to December 2016, six patients with right side transverse colon cancer underwent clipless laparoscopic surgery were enrolled in this study. After skeletonizing around the roots of the SRCVs, they were divided at their roots only by LigaSure, without the use of clips. Results: The mean operative time was 136 min (range 114-160), the mean operative blood loss was less than 10 ml, and no bleeding at the stump of the SRCV was confirmed during surgery. The mean length of hospitalization after surgery was 10 days, and no complications were encountered after surgery. No recurrence was found more than three years after surgery. Conclusion: Clipless laparoscopic division of the SRCV is a useful procedure for patients with right side transverse colon cancer. the superior colic the are to for the of due to vascular injury, when the clips after the procedure; a clipless We performed a novel procedure: a clipless laparoscopic partial colectomy for right side transverse colon cancer.\",\"PeriodicalId\":22101,\"journal\":{\"name\":\"Surgery, Gastroenterology and Oncology\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2021-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Surgery, Gastroenterology and Oncology\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.21614/sgo-26-4-286\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Surgery, Gastroenterology and Oncology","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.21614/sgo-26-4-286","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}

引用次数: 0

摘要

背景:夹子在腹腔镜手术中常用来分割血管。然而，肠系膜上静脉(SMV)的分支，包括右结肠上静脉(SRCV)，是狭窄的，夹子太大，不能用于这些静脉。在手术过程中，人们担心由于血管损伤而出血的风险，以及在手术后分离夹子的风险。患者与方法:选取2014年1月至2016年12月6例行无夹腹腔镜手术的右侧横断面结肠癌患者为研究对象。在srcv的根部周围骨架化后，仅用LigaSure在其根部分开，而不使用夹子。结果:平均手术时间136 min(范围114 ~ 160)，平均术中出血量小于10 ml，术中未发现残端出血。术后平均住院时间10天，无并发症发生。术后3年以上无复发。结论:腹腔镜下无夹切除右侧横断面结肠癌是一种有效的手术方法。由于血管损伤引起的上绞痛，当手术后夹紧时;我们进行了一种新颖的手术:无夹腹腔镜结肠部分切除术治疗右侧横结肠癌。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

Usefulness of Clipless Laparoscopic Division of Superior Right Colic Vein for Right Side Transverse Colon Cancer

Background: Clips are commonly used to divide vessels in laparoscopic surgery. However, branches of the superior mesenteric vein (SMV), including the superior right colic vein (SRCV), are narrow, and the clips are too large to be used for these veins. During surgery, there is concern about the risk of bleeding due to vascular injury, as well as when detaching the clips after the procedure. Patients and Methods: From January 2014 to December 2016, six patients with right side transverse colon cancer underwent clipless laparoscopic surgery were enrolled in this study. After skeletonizing around the roots of the SRCVs, they were divided at their roots only by LigaSure, without the use of clips. Results: The mean operative time was 136 min (range 114-160), the mean operative blood loss was less than 10 ml, and no bleeding at the stump of the SRCV was confirmed during surgery. The mean length of hospitalization after surgery was 10 days, and no complications were encountered after surgery. No recurrence was found more than three years after surgery. Conclusion: Clipless laparoscopic division of the SRCV is a useful procedure for patients with right side transverse colon cancer. the superior colic the are to for the of due to vascular injury, when the clips after the procedure; a clipless We performed a novel procedure: a clipless laparoscopic partial colectomy for right side transverse colon cancer.

求助全文

通过发布文献求助，成功后即可免费获取论文全文。去求助

来源期刊

Surgery, Gastroenterology and Oncology Medicine-Gastroenterology

CiteScore

0.30

自引率

0.00%

发文量

期刊介绍： Starting with this issue "Annals of Fundeni Hospital", founded in 1996 as the scientific journal of the prestigious hospital Fundeni becomes "Journal of Translational Medicine and Research" (JTMR), an Journal of the Academy of Medical Sciences of Romania. Therefore, an 18 years old Journal, attested and indexed in Elsevier Bibliographic Databases, Amsterdam and also indexed in SCOPUS, is continuing a tradition of excellence that lasted almost two decades. The new title of the Journal is inspired first of all from the important developments of translational research In Fundeni Clinical Institute and the "C.C Iliescu Institute for Cardio-Vascular Diseases", in parallel with the national and international trend to promote and develop this important area or medical research. Although devoted mainly to translational research, JTMR will continue to promote both basic and clinical research.