Lymph node dissection and key technical points in 4K laparoscopic radical resection of transverse colon cancer
10.3760/cma.j.cn115610-20201110-00708
- VernacularTitle:4K腹腔镜横结肠癌根治术淋巴结清扫与关键技术
- Author:
Yujian ZENG
1
;
Chengmin SHI
;
Huayou LUO
;
Tong ZHANG
Author Information
1. 昆明医科大学第一附属医院胃肠外科 650032
- Keywords:
Colon neoplasms;
Transverse colon;
Radical resection;
Lymph node dissection;
4K resolution;
Laparoscopy
- From:
Chinese Journal of Digestive Surgery
2021;20(S1):43-46
- CountryChina
- Language:Chinese
-
Abstract:
Laparoscopic radical resection of transverse colon cancer is a difficult operation, which is featured by large operation area, multiple steps, and many clinical anatomical variations. It requires the concept of complete mesocolic excision. Because of its absolute high-definition picture restoration, the 4K laparoscope can effectively assist in the identification, protection and severance of blood vessels during the operation, and assist in judging the fascia space of the operation. After entering Toldt fascial space through the intermediate approach guided by the superior mesenteric vein, the left, right transverse colon and lower area of mesangium are completely dissected, the upper area of colon, hepatic and splenic flexure are sepearted. The authors summarize practical experiences, investigate the extent of lymph node dissection in 4K laparoscopic radical resection of transverse colon cancer and share surgical experience.
