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胚胎时消化道背系膜由于肠管旋转而形成各种融合筋膜,如大网膜和网膜囊后壁、胰前筋膜和胰后筋膜、左右Toldt筋膜等.癌根治性手术的淋巴清扫要求整块切除,引流消化道的淋巴系统都位于背系膜内,而背系膜又形成许多融合筋膜,因此熟悉融合筋膜的形成过程、走行和层次,对癌根治性手术是非常重要的.本文介绍了日本癌研究会根据对融合筋膜的研究而采用的对于胃癌、结肠癌等行整块切除的手术方法.
Embryonic digestive tract dorsal membrane due to intestinal rotation and the formation of a variety of fusion fascia, such as the omentum and the posterior wall of the omental sac, pancreatic and retroperitoneal fascia, left and right Toldt fascia, etc. Radical surgery Lymphadenectomy requires removal of the entire mass. The lymphatic system that drains the digestive tract is located in the dorsal membrane, and the dorsal mesentery forms many fusion fascia. Therefore, it is familiar with the process of formation, migration and level of fusion fascia, Very important.This article describes the Japan Cancer Research Association based on the study of the fascia used for gastric cancer, colon cancer, such as the line of the whole operation method.