右半结肠切除范围,若对盲肠及升结肠癌,应同时切除回肠末端15cm、盲肠、升结肠、横结肠右半部及部分大网膜和胃网膜血管;切断及切除回盲动脉、右结肠动脉、中结肠动脉右支及其伴随的淋巴结。若治疗回盲部良性病变,为了便于手术,可先游离盲肠及升结肠,对肠系膜则不做过多的切除。
结论:腹腔镜辅助右半结肠切除术是一种安全、可行的办法,具有明显的微创效果。
Conclusions: Laparoscopic right hemicolectomy is a feasible and safe procedure, With excellent minimally invasive effect.
肠粘连狭窄患者1 4例行回肠部分切除术,1例行右半结肠切除术,3例行乙状结肠直肠上端切除术。
In all intestinal stricture cases, partial ileal resection was performed in 14 patients, right hemicolectomy in 1 patient, rectosigmoid resection in 3 patients.
手术方式以右半结肠切除术(37.65%),小肠部分切除(21.18%)为主,内、外瘘及肛周CD行外科处理预后良好。
The most surgical procedure was the right half colon resection(37.65%). The second was partial enterectomy(21.18%). The prognosis of enteral and external fistula and perianal CD were satisfactory.
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