Radical surgery for colon cancer guided by membrane anatomy theory.
10.3760/cma.j.cn.441530-20210314-00111
- VernacularTitle:膜解剖理论指导下的结肠癌根治术
- Author:
Bin LUO
1
;
Kang WANG
1
Author Information
1. Department of Gastrointestinal Surgery, Sichuan Provincial Peoples' Hospital, Chengdu 610072, China.
- Publication Type:Journal Article
- Keywords:
Colon neoplasms;
Mambrane anatomy;
Mesocolon;
Metastasis V;
Tumor budding
- MeSH:
Colectomy;
Colonic Neoplasms/surgery*;
Humans;
Laparoscopy;
Lymph Node Excision;
Mesentery/surgery*;
Mesocolon/surgery*;
Neoplasm Recurrence, Local;
Reproducibility of Results
- From:
Chinese Journal of Gastrointestinal Surgery
2021;24(7):581-586
- CountryChina
- Language:Chinese
-
Abstract:
Like other solid tumors, colon cancer surgery has undergone a century-old journey from lumpectomy to organ resection and then to lymphadenectomy. From the Toldt fascia to complete mesenteric resection, and from local resection to D3 radical treatment, local recurrence rates have been reduced, but remain a nuisance to surgeons and patients. Based on the theory of membrane anatomy, radical surgery for colon cancer will focus more on removing the mesocolon from the mesentery bed while maintaining the integrity of the posterior fascia to avoid the occurrence of "fifth metastasis" as much as possible. Thanks to the membrane anatomy theory, its strong reproducibility and replicability, a new phase of colorectal surgery is on the horizon.
