腹腔镜下保留左结肠动脉的直肠癌D3 根治术的争议与体会_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

李伟 , 国瑀辰 ,  所剑

吉林大学第一医院胃结直肠肛门外科（长春 130021）;

Corresponding author：

所剑, Email: suojian0066@126.com

Keywords：

DOI：

10.7507/1007-9424.201907032

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Citation： 李伟, 国瑀辰, 所剑. 腹腔镜下保留左结肠动脉的直肠癌D3 根治术的争议与体会. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2019, 26(8): 912-916. doi: 10.7507/1007-9424.201907032 Copy

1.	陈孝平, 石应康, 邱贵兴, 等. 外科学. 第2版. 北京: 人民卫生出版社, 2010: 583.
2.	Heald RJ, Husband EM, Ryall RD. The mesorectum in rectal cancer surgery—the clue to pelvic recurrence? Br J Surg, 1982, 69(10): 613-616.
3.	Lowry AC, Simmang CL, Boulos P, et al. Consensus statement of definitions for anorectal physiology and rectal cancer. Colorectal Dis, 2001, 3(4): 272-275.
4.	Miles WE. A method of performing abdomino-perineal excision for carcinoma of the rectum and of the terminal portion of the pelvic colon (1908). CA Cancer J Clin, 1971, 21(6): 361-364.
5.	Moynihan PC, Grogan JB. Immunosuppressive effect of antisera to subcellular lymphocyte fractions. Surg Gynecol Obstet, 1969, 129(3): 551-555.
6.	Dukes CE. Peculiarities in the pathology of cancer of the ano-rectal region. Proc R Soc Med, 1946, 39(12): 763-765.
7.	Ault GW, Castro AF, Smith RS. Carcinoma of the upper rectum and rectosigmoid; clinical report on high inferior mesenteric ligation. Postgrad Med, 1950, 8(3): 176-183.
8.	McElwain JW, Bacon HE, Trimpi HD. Lymph node metastases; experience with aortic ligation of inferior mesentery artery in cancer of the rectum. Surgery, 1954, 35(4): 513-531.
9.	State D. Combined abdominoperineal excision of the rectum—a plan for standardization of the proximal extent of dissection. Surgery, 1951, 30(2): 349-354.
10.	Bacon HE, Smith CH. The arterial supply of the distal colon pertinent to abdominoperineal proctosigmoidectomy, with preservation of the sphincter echanism. Ann Surg, 1948, 127(1): 28-33.
11.	Dixon CF. Anterior resection for malignant lesions of the upper part of the rectum and lower part of the sigmoid. Ann Surg, 1948, 128(3): 425-442.
12.	Hida J, Yasutomi M, Maruyama T, et al. Indication for using high ligation of the inferior mesenteric artery in rectal cancer surgery. Examination of nodal metastases by the clearing method. Dis Colon Rectum, 1998, 41(8): 984-991.
13.	Kawamura YJ, Umetani N, Sunami E, et al. Effect of high ligation on the long-term result of patients with operable colon cancer, particularly those with limited nodal involvement. Eur J Surg, 2000, 166(10): 803-807.
14.	Uehara K, Yamamoto S, Fujita S, et al. Impact of upward lymph node dissection on survival rates in advanced lower rectal carcinoma. Dig Surg, 2007, 24(5): 375-381.
15.	Fazio S, Ciferri E, Giacchino P, et al. Cancer of the rectum: comparison of two different surgical approaches. Chir Ital, 2004, 56(1): 23-30.
16.	Cirocchi R, Trastulli S, Farinella E, et al. High tie versus low tie of the inferior mesenteric artery in colorectal cancer: a RCT is needed. Surg Oncol, 2012, 21(3): e111-e123.
17.	陈仕才, 宋新明, 陈志辉, 等. 肠系膜下动脉结扎方式对乙状结肠癌和直肠癌患者预后影响的Meta分析. 中华胃肠外科杂志, 2010, 13(9): 674-677.
18.	Kanemitsu Y, Hirai T, Komori K, et al. Survival benefit of high ligation of the inferior mesenteric artery in sigmoid colon or rectal cancer surgery. Br J Surg, 2006, 93(5): 609-615.
19.	Leggeri A, Roseano M, Balani A, et al. Lumboaortic and iliac lymphadenectomy: what is the role today? Dis Colon Rectum, 1994, 37(2 Suppl): S54-S61.
20.	Nelson H, Petrelli N, Carlin A, et al. Guidelines 2000 for colon and rectal cancer surgery. J Natl Cancer Inst, 2001, 93(8): 583-596.
21.	Read TE, Mutch MG, Chang BW, et al. Locoregional recurrence and survival after curative resection of adenocarcinoma of the colon. J Am Coll Surg, 2002, 195(1): 33-40.
22.	Mäkelä JT, Kiviniemi H, Laitinen S. Risk factors for anastomotic leakage after left-sided colorectal resection with rectal anastomosis. Dis Colon Rectum, 2003, 46(5): 653-660.
23.	Telem DA, Chin EH, Nguyen SQ, et al. Risk factors for anastomotic leak following colorectal surgery: a case-control study. Arch Surg, 2010, 145(4): 371-376.
24.	Dworkin MJ, Allen-Mersh TG. Effect of inferior mesenteric artery ligation on blood flow in the marginal artery-dependent sigmoid colon. J Am Coll Surg, 1996, 183(4): 357-360.
25.	Seike K, Koda K, Saito N, et al. Laser Doppler assessment of the influence of division at the root of the inferior mesenteric artery on anastomotic blood flow in rectosigmoid cancer surgery. Int J Colorectal Dis, 2007, 22(6): 689-697.
26.	Hall NR, Finan PJ, Stephenson BM, et al. High tie of the inferior mesenteric artery in distal colorectal resections—a safe vascular procedure. Int J Colorectal Dis, 1995, 10(1): 29-32.
27.	Morgan CN, Griffiths JD. High ligation of the inferior mesenteric artery during operations for carcinoma of the distal colon and rectum. Surg Gynecol Obstet, 1959, 108(6): 641-650.
28.	Nano M, Dal Corso H, Ferronato M, et al. Ligation of the inferior mesenteric artery in the surgery of rectal cancer: anatomical considerations. Dig Surg, 2004, 21(2): 123-127.
29.	Bruch HP, Schwandner O, Schiedeck TH, et al. Actual standards and controversies on operative technique and lymph-node dissection in colorectal cancer. Langenbecks Arch Surg, 1999, 384(2): 167-175.
30.	Pezim ME, Nicholls RJ. Survival after high or low ligation of the inferior mesenteric artery during curative surgery for rectal cancer. Ann Surg, 1984, 200(6): 729-733.
31.	Corder AP, Karanjia ND, Williams JD, et al. Flush aortic tie versus selective preservation of the ascending left colic artery in low anterior resection for rectal carcinoma. Br J Surg, 1992, 79(7): 680-682.
32.	Rouffet F, Hay JM, Vacher B, et al. Curative resection for left colonic carcinoma: hemicolectomy vs. segmental colectomy. A prospective, controlled, multicenter trial. French Association for Surgical Research. Dis Colon Rectum, 1994, 37(7): 651-659.
33.	Hinoi T, Okajima M, Shimomura M, et al. Effect of left colonic artery preservation on anastomotic leakage in laparoscopic anterior resection for middle and low rectal cancer. World J Surg, 2013, 37(12): 2935-2943.
34.	Messinetti S, Giacomelli L, Manno A, et al. Preservation and peeling of the inferior mesenteric artery in the anterior resection for complicated diverticular disease. Ann Ital Chir, 1998, 69(4): 479-483.
35.	Napolitano AM, Napolitano L, Costantini R, et al. Skeletization of the inferior mesenteric artery in colorectal surgery. Current considerations. G Chir, 1996, 17(4): 185-189.
36.	日本大肠癌研究会. 大肠癌取扱い規約. 第9版. 东京: 金原出版株式会社, 2018: 38.
37.	渡邊昌彦著, 张雪峰译. 消化外科手术图解5: 直肠肛门外科手术操作要领与技巧. 第2版. 北京: 人民卫生出版社, 2012: 1.
38.	Sekimoto M, Takemasa I, Mizushima T, et al. Laparoscopic lymph node dissection around the inferior mesenteric artery with preservation of the left colic artery. Surg Endosc, 2011, 25(3): 861-866.
39.	Kobayashi M, Okamoto K, Namikawa T, et al. Laparoscopic lymph node dissection around the inferior mesenteric artery for cancer in the lower sigmoid colon and rectum: is D3 lymph node dissection with preservation of the left colic artery feasible? Surg Endosc, 2006, 20(4): 563-569.
40.	Guo Y, Wang D, He L, et al. Marginal artery stump pressure in left colic artery-preserving rectal cancer surgery: a clinical trial. ANZ J Surg, 2017, 87(7-8): 576-581.

1. 陈孝平, 石应康, 邱贵兴, 等. 外科学. 第2版. 北京: 人民卫生出版社, 2010: 583.
2. Heald RJ, Husband EM, Ryall RD. The mesorectum in rectal cancer surgery—the clue to pelvic recurrence? Br J Surg, 1982, 69(10): 613-616.
3. Lowry AC, Simmang CL, Boulos P, et al. Consensus statement of definitions for anorectal physiology and rectal cancer. Colorectal Dis, 2001, 3(4): 272-275.
4. Miles WE. A method of performing abdomino-perineal excision for carcinoma of the rectum and of the terminal portion of the pelvic colon (1908). CA Cancer J Clin, 1971, 21(6): 361-364.
5. Moynihan PC, Grogan JB. Immunosuppressive effect of antisera to subcellular lymphocyte fractions. Surg Gynecol Obstet, 1969, 129(3): 551-555.
6. Dukes CE. Peculiarities in the pathology of cancer of the ano-rectal region. Proc R Soc Med, 1946, 39(12): 763-765.
7. Ault GW, Castro AF, Smith RS. Carcinoma of the upper rectum and rectosigmoid; clinical report on high inferior mesenteric ligation. Postgrad Med, 1950, 8(3): 176-183.
8. McElwain JW, Bacon HE, Trimpi HD. Lymph node metastases; experience with aortic ligation of inferior mesentery artery in cancer of the rectum. Surgery, 1954, 35(4): 513-531.
9. State D. Combined abdominoperineal excision of the rectum—a plan for standardization of the proximal extent of dissection. Surgery, 1951, 30(2): 349-354.
10. Bacon HE, Smith CH. The arterial supply of the distal colon pertinent to abdominoperineal proctosigmoidectomy, with preservation of the sphincter echanism. Ann Surg, 1948, 127(1): 28-33.
11. Dixon CF. Anterior resection for malignant lesions of the upper part of the rectum and lower part of the sigmoid. Ann Surg, 1948, 128(3): 425-442.
12. Hida J, Yasutomi M, Maruyama T, et al. Indication for using high ligation of the inferior mesenteric artery in rectal cancer surgery. Examination of nodal metastases by the clearing method. Dis Colon Rectum, 1998, 41(8): 984-991.
13. Kawamura YJ, Umetani N, Sunami E, et al. Effect of high ligation on the long-term result of patients with operable colon cancer, particularly those with limited nodal involvement. Eur J Surg, 2000, 166(10): 803-807.
14. Uehara K, Yamamoto S, Fujita S, et al. Impact of upward lymph node dissection on survival rates in advanced lower rectal carcinoma. Dig Surg, 2007, 24(5): 375-381.
15. Fazio S, Ciferri E, Giacchino P, et al. Cancer of the rectum: comparison of two different surgical approaches. Chir Ital, 2004, 56(1): 23-30.
16. Cirocchi R, Trastulli S, Farinella E, et al. High tie versus low tie of the inferior mesenteric artery in colorectal cancer: a RCT is needed. Surg Oncol, 2012, 21(3): e111-e123.
17. 陈仕才, 宋新明, 陈志辉, 等. 肠系膜下动脉结扎方式对乙状结肠癌和直肠癌患者预后影响的Meta分析. 中华胃肠外科杂志, 2010, 13(9): 674-677.
18. Kanemitsu Y, Hirai T, Komori K, et al. Survival benefit of high ligation of the inferior mesenteric artery in sigmoid colon or rectal cancer surgery. Br J Surg, 2006, 93(5): 609-615.
19. Leggeri A, Roseano M, Balani A, et al. Lumboaortic and iliac lymphadenectomy: what is the role today? Dis Colon Rectum, 1994, 37(2 Suppl): S54-S61.
20. Nelson H, Petrelli N, Carlin A, et al. Guidelines 2000 for colon and rectal cancer surgery. J Natl Cancer Inst, 2001, 93(8): 583-596.
21. Read TE, Mutch MG, Chang BW, et al. Locoregional recurrence and survival after curative resection of adenocarcinoma of the colon. J Am Coll Surg, 2002, 195(1): 33-40.
22. Mäkelä JT, Kiviniemi H, Laitinen S. Risk factors for anastomotic leakage after left-sided colorectal resection with rectal anastomosis. Dis Colon Rectum, 2003, 46(5): 653-660.
23. Telem DA, Chin EH, Nguyen SQ, et al. Risk factors for anastomotic leak following colorectal surgery: a case-control study. Arch Surg, 2010, 145(4): 371-376.
24. Dworkin MJ, Allen-Mersh TG. Effect of inferior mesenteric artery ligation on blood flow in the marginal artery-dependent sigmoid colon. J Am Coll Surg, 1996, 183(4): 357-360.
25. Seike K, Koda K, Saito N, et al. Laser Doppler assessment of the influence of division at the root of the inferior mesenteric artery on anastomotic blood flow in rectosigmoid cancer surgery. Int J Colorectal Dis, 2007, 22(6): 689-697.
26. Hall NR, Finan PJ, Stephenson BM, et al. High tie of the inferior mesenteric artery in distal colorectal resections—a safe vascular procedure. Int J Colorectal Dis, 1995, 10(1): 29-32.
27. Morgan CN, Griffiths JD. High ligation of the inferior mesenteric artery during operations for carcinoma of the distal colon and rectum. Surg Gynecol Obstet, 1959, 108(6): 641-650.
28. Nano M, Dal Corso H, Ferronato M, et al. Ligation of the inferior mesenteric artery in the surgery of rectal cancer: anatomical considerations. Dig Surg, 2004, 21(2): 123-127.
29. Bruch HP, Schwandner O, Schiedeck TH, et al. Actual standards and controversies on operative technique and lymph-node dissection in colorectal cancer. Langenbecks Arch Surg, 1999, 384(2): 167-175.
30. Pezim ME, Nicholls RJ. Survival after high or low ligation of the inferior mesenteric artery during curative surgery for rectal cancer. Ann Surg, 1984, 200(6): 729-733.
31. Corder AP, Karanjia ND, Williams JD, et al. Flush aortic tie versus selective preservation of the ascending left colic artery in low anterior resection for rectal carcinoma. Br J Surg, 1992, 79(7): 680-682.
32. Rouffet F, Hay JM, Vacher B, et al. Curative resection for left colonic carcinoma: hemicolectomy vs. segmental colectomy. A prospective, controlled, multicenter trial. French Association for Surgical Research. Dis Colon Rectum, 1994, 37(7): 651-659.
33. Hinoi T, Okajima M, Shimomura M, et al. Effect of left colonic artery preservation on anastomotic leakage in laparoscopic anterior resection for middle and low rectal cancer. World J Surg, 2013, 37(12): 2935-2943.
34. Messinetti S, Giacomelli L, Manno A, et al. Preservation and peeling of the inferior mesenteric artery in the anterior resection for complicated diverticular disease. Ann Ital Chir, 1998, 69(4): 479-483.
35. Napolitano AM, Napolitano L, Costantini R, et al. Skeletization of the inferior mesenteric artery in colorectal surgery. Current considerations. G Chir, 1996, 17(4): 185-189.
36. 日本大肠癌研究会. 大肠癌取扱い規約. 第9版. 东京: 金原出版株式会社, 2018: 38.
37. 渡邊昌彦著, 张雪峰译. 消化外科手术图解5: 直肠肛门外科手术操作要领与技巧. 第2版. 北京: 人民卫生出版社, 2012: 1.
38. Sekimoto M, Takemasa I, Mizushima T, et al. Laparoscopic lymph node dissection around the inferior mesenteric artery with preservation of the left colic artery. Surg Endosc, 2011, 25(3): 861-866.
39. Kobayashi M, Okamoto K, Namikawa T, et al. Laparoscopic lymph node dissection around the inferior mesenteric artery for cancer in the lower sigmoid colon and rectum: is D3 lymph node dissection with preservation of the left colic artery feasible? Surg Endosc, 2006, 20(4): 563-569.
40. Guo Y, Wang D, He L, et al. Marginal artery stump pressure in left colic artery-preserving rectal cancer surgery: a clinical trial. ANZ J Surg, 2017, 87(7-8): 576-581.

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CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

腹腔镜下保留左结肠动脉的直肠癌D3 根治术的争议与体会

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