第3巻 2007年6月　第3号

■臨床医のために

結腸右半切除術―当科における標準手術手技―
松田　明久^1,2, 笹島　耕二^1,2, 丸山　弘^1,2, 柏原　元^1,2, 鈴木　英之¹, 古川　清憲¹, 田尻　孝^1
1日本医科大学大学院医学研究科臓器病態制御外科学
²日本医科大学多摩永山病院外科

Right Hemicolectomy
Akihisa Matsuda^1,2, Koji Sasajima^1,2, Hiroshi Maruyama^1,2, Moto Kashiwabara^1,2, Hideyuki Suzuki¹, Kiyonori Furukawa¹ and Takashi Tajiri^1
1Surgery for Organ Function and Biological Regulation (Department of Surgery), Graduate School of Medicine, Nippon Medical School
²Department of Surgery, Nippon Medical School Tama Nagayama Hospital

Right hemicolectomy has been recognized as a basic surgical procedure in gastrointestinal surgery. Guidelines for the treatment of colorectal cancer were first published in 2005 and defined D3 as a standard lymph node dissection in patients with advanced colorectal cancer. However, strict D3 dissection is not an easy procedure and has technical differences between institutions and instructors. In this article we introduce detailed procedures for right hemicolectomy with antegrade D3 dissection by means of the inside approach which is routinely performed at our institution. We hope this article will be helpful for surgeons who perform operations for right-sided colon cancer.

日医大医会誌 2007; 3(3), 136-140

Key words
colon cancer, operation, right hemicolectomy, D3 dissection

Correspondence to
Akihisa Matsuda, Department of Surgery, Nippon Medical School Tama Nagayama Hospital, 1-7-1 Nagayama, Tama City, Tokyo 206-8512, Japan
E-mail：a-matsu@nms.ac.jp

受付：2007年2月9日　受理：2007年3月16日