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标准的D3根治术对于结肠癌来说可以降低术后复发率、提高5年存活率,故结肠癌手术D3根治术应该作为结肠癌常规的淋巴结清扫方式。右半结肠癌的D3根治术要求广泛的淋巴结清扫直至主淋巴结(第3站),但是由于右侧结肠血管的解剖较为复杂,该手术方式具有一定挑战性。腹腔镜为精细解剖提供了很好的条件,摄像镜可以对解剖结构放大3~5倍,良好稳定的视野更有利于在解剖血
Standard D3 radical surgery for colon cancer can reduce postoperative recurrence rate and improve the 5-year survival rate, so the radical operation of colon cancer D3 should be used as a routine lymph node dissection of colon cancer. D3 radical mastectomy for right-sided colon cancer requires extensive lymphadenectomy up to the primary lymph node (station 3), but this mode of operation presents some challenges due to the more complex anatomy of the right colon. Laparoscopy provides a good condition for fine dissection, the camera can magnify the anatomy 3 to 5 times, a good and stable field of vision is more conducive to the dissection of blood