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尾侧入路法与中间入路法在腹腔镜右半结肠癌根治术中的应用效果观察 被引量:3

Comparison of the effects of caudal approach and intermediate approach in laparoscopic radical resection of right hemi-colon carcinoma
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摘要 目的:探讨尾侧入路法与中间入路法在腹腔镜右半结肠癌根治术中的应用效果。方法:选取120例腹腔镜右半结肠癌根治术患者作为研究对象,根据随机数表法分为对照组和观察组,每组各60例。对照组给予腹腔镜下中间入路右半结肠癌根治术,观察组进行腹腔镜下尾侧入路右半结肠癌根治术,观察两组患者的手术指标、术后并发症。结果:观察组的手术时间短于对照组,术中出血量少于对照组,术后第1次排气时间比对照组短,中转开腹率低于对照组,差异有统计学意义(P<0.05);观察组术后并发症发生率比对照组低,差异有统计学意义(P<0.05)。结论:在腹腔镜右半结肠癌根治术中行尾侧入路方式,可有效缩短手术时间,降低术中出血量,缩短患者术后排气时间、降低中转开腹率以及减少术后患者并发症的发生率。 Objective:To investigate the effects of caudal approach and intermediate approach in laparoscopic radical resection of right hemi-colon carcinoma.Methods:120 patients underwent laparoscopic radical resection of right hemi-colon cancer were selected of as the subjects,who were randomized into the control group and observation group.Caudal approach was used for patients in control group,while intermediate approach for patients in the observation group during laparoscopic radical resection of right hemi-colon carcinoma.The operation indexes and postoperative complications of both groups were compared.Results:The operative time of the observation group was shorter than that of the control group,the intraoperative blood loss was less than that of the control group,the first postoperative exhaust time was shorter than that of the control group,and the rate of conversion to laparotomy was lower than that of the control group,which were of statistical significances(P<0.05).The incidence of postoperative complications in the observation group was,lower than that in the control group,which was of statistical difference(P<0.05).Conclusion:caudal approach in laparoscopic radical resection of right hemi-colon carcinoma can effectively shorten the operation time and the postoperative exhaust time,reduce the amount of blood loss,the rate of conversion to laparotomy and the incidence of postoperative complications.
作者 郭国校 GUO Guoxiao(Dept.of General Surgery,Huaihe Hospital of Henan University,Kaifeng 475000,China)
出处 《华夏医学》 CAS 2020年第2期72-75,共4页 Acta Medicinae Sinica
关键词 腹腔镜 右半结肠癌根治术 尾侧入路法 中间入路法 laparoscopy radical resection of right hemi-colon carcinoma caudal approach middle approach
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  • 1包炎毅,阎波,朱雯怡,侯坤.腹腔镜辅助右半结肠切除术21例报告[J].中国微创外科杂志,2008,8(5):399-400. 被引量:10
  • 2金留根,费伯健,王卫理,许示心,曹华祥,蒋晖,许洪卫,何平.完整结肠系膜切除在右半结肠癌根治术中的应用研究[J].中华临床医师杂志(电子版),2012,6(16):4949-4950. 被引量:4
  • 3刘蔚东,张阳德,Choi Gyuseog,Lee Intaek.腹腔镜下右半结肠癌D3根治术[J].中国微创外科杂志,2007,7(6):499-501. 被引量:21
  • 4黎介寿,吴盂超,黄志强.手术学全集-普通外科卷[M].2版.北京:人民军医出版社,2007:397-401.
  • 5Fleshman J, Sargent DJ, Green E, et al. Laparoscopic colectomy for cancer is not inferior to open surgery based on 5-year data from theCOST Group trial[J]. Ann Surg, 2007,246(4):655-662.
  • 6Jayne DG, Thorpe HC, Copeland J, et al. Five-year follow-up of the Medical Research Council CLASICC trial of laparoscopically as- sisted versus open surgery for colorectal cancer [J]. Br J Surg, 2010,97( 11 ):1638-1645.
  • 7Guo DY, Eteuati J, Nguyen MH, et al. Laparoscopic assisted colec- tomy: experience form a rural centre [J]. Anz J Surg, 2007,77 (4): 283-286.
  • 8Veldkamp R, Kuhry E, Hop WC, et al. Laparoscopic surgery versus open surgery for colon cancer: short-term outcomes of a randomized trial[J]. Lancet Oncol, 2005,6 (7):477-484.
  • 9Franko J, Fassler SA, Rezvani M, et al. Conversion of laparoscopic colon resection does not affect survival in colon cancer[.J]. Surg En- dosc, 2008,22( 12):2631-2634.
  • 10Nassiopoulos K, Pavlidis TE, Menenakos E, et al. Laparoscopic colectomy in the management of large, sessile, transformed col- orectal polyps[J]. JSLS, 2005,9( 1 ):58-62.

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