作者：李锦宏，曾兵，黄闻东，曾军

单位：广州医科大学附属第六医院，广东 清远 511518

Authors:  Li Jinhong, Zeng Bing, Huang Wendong, Zeng Jun

Unit:  Sixth Affiliated Hospital of Guangzhou Medical University, Qingyuan 511518, Guangdong, China

摘要：

目前直肠癌的治疗以手术为主,全直肠系膜切除(total mesorectal excision, TME)原则已成为中下段直肠癌手术治疗的标准术式,但对于肠系膜下动脉(Inferior Mesenteric Artery, IMA)的处理方式仍存在争议。IMA的处理方式主要分为保留左结肠动脉的低位结扎和不保留左结肠动脉的高位结扎。本文结合国内外相关文献对直肠癌根治术中保留左结肠动脉的应用进展进行综述。

关键词：  直肠癌; 左结肠动脉; 高位结扎; 低位结扎

Abstract：

At present, surgery is the main treatment of rectal cancer. The principle of total mesorectal resection (TME)has become the standard operation for middle and lower rectal cancer, but there is no consensus on the management of inferior mesenteric artery (IMA)which is mainly divided into low ligation with left colic artery and high ligation without left colic artery. In this paper, the application of preserving left colon artery during radical resection of rectal cancer was reviewed in combination with relevant literatures at home and abroad.

Key Words:  Rectal cancer; Left colic artery; High ligation; Low ligation