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从1975年3月到1986年底,笔者对49例右半结肠癌肿及1例结核用新术式行右半结肠切除。包括盲肠癌26例,纤维肉瘤3例,结核1例;升结肠癌12例,纤维肉瘤1例;结肠肝曲癌7例。在瘴例中属 Dukes B 期33例,C 期12例。本文重点介绍右半结肠游离径路问题。操作步骤 (1)以脐为中点作右腹直肌或正中切口进腹。(2)一般先靠近根部结扎切断结肠右动静脉、回结肠动静脉以及结肠中动静脉右支。结肠肝曲癌,近根部结扎切断结肠中动静脉,切除右2/3横结肠及其系
From March 1975 to the end of 1986, the author performed a right hemicolectomy with 49 cases of right colon cancer and 1 tuberculosis. Including 26 cases of colorectal cancer, 3 cases of fibrosarcoma, 1 case of tuberculosis; 12 cases of ascending colon cancer, 1 case of fibrosarcoma; 7 cases of colon cancer of the liver. In the case of a case, there were 33 cases of Dukes B and 12 cases of C. This article focuses on the issue of the right hemicolial free pathway. Procedure (1) Take the umbilicus as the midpoint of the right rectus abdominis or the midline incision into the abdomen. (2) Generally, the right arterial vein, the ileocolic arteriovenous vein, and the right arterial vein in the colon are cut off near the root. Liver cancer of the colon, proximal root ligation cuts arteriovenous in the colon, removes the right 2/3 of the transverse colon and its lines