期刊文献+

腹腔镜下右半结肠癌根治术不同手术入路的疗效比较 被引量:44

下载PDF
导出
摘要 为比较腹腔镜下右半结肠癌根治术不同手术入路的疗效,将腹腔镜辅助下的右半结肠癌根治术患者112例分成观察组及对照组各56例,对照组选择中间入路术式,观察组选择侧方入路术式,随访3年,比较两组术中和术后的相关指标,术后的肿瘤分期及并发症,以及中位生存期及生存率。结果显示,术中指标,观察组手术时间和出血量均显著少于对照组(P<0.05)。术后指标,观察组排气时间显著少于对照组(P<0.05)。两组患者术后的肿瘤分期及并发症总发生率比较,差异无统计学意义(P>0.05)。两组患者的中位生存期及1年生存率和3年生存率,差异无统计学意义(P>0.05)。腹腔镜辅助下的右半结肠癌根治术侧方入路较中间入路具有较好的疗效,具有术程短、创伤小、恢复快等优点。
出处 《中国现代普通外科进展》 CAS 2016年第3期226-228,共3页 Chinese Journal of Current Advances in General Surgery
  • 相关文献

参考文献4

二级参考文献30

  • 1Moloo H,Haggar F, Coyle D, et al. Hand assisted laparoscopic surgery versus conventional laparoscopy for colorectal surgery. Cochrane Database of Systematic Review 2010 ,Issue 10.
  • 2Liang JT, Lai HS, Lee PH, et al. Laparoscopic medial-to-lateral approach for the curative resection of right-sided colon cancer. Ann Surg Oncol, 2007,14 : 1878-1879.
  • 3Pramateftakis MG. Optimizing colonic cancer surgery: high ligation and complete mesocolic excision during right hemicolectomy. Tech Coloproctol, 2010,14 :s49-s51.
  • 4Clinical Outcomes of Surgical Therapy Study Group. A comparison of laparoscopically assisted and open colectomy for colon cancer [ J]. N Engl J Med, 2004,350:2050-2059.
  • 5Hazebroek E J; Color Study Group. COLOR: a randomized clinical trial comparing laparoscopic and open resection for colon cancer [ J ] Surg Endosc, 2002,16 : 949-953.
  • 6Guillou PJ, Quirke P Thorpe H, et al. Short-term endpoints of conventional versus laparoscopic-assisted surgery in patients with colorectal cancer (MRC CLASICC trial): multicentre, randomized controlled trial[J]. Lancet, 2005,365 : 1718-1726.
  • 7Hohenberger W, Weber K, Matzel K, et al. Standardizedsurgery for colonic cancer: complete mesocolic excision and central ligation--technical notes and outcome [J]. Colorectal Dis, 2009,11 : 354-365.
  • 8West NP, Hohenberger W, Weber K, et al. Complete mesocolic excision with central vascular ligation produces an oncologically superior specimen compared with standard surgery for carcinoma of the colon [J]. J Clin Oncol, 2010,28:272- 278.
  • 9Pramateftakis MG. Optimizing colonic cancer surgery: high ligation and complete mesocolic excision during right hemicolectomy [J]. Tech Coloproctol, 2010,14 Suppl 1 :$49- $51.
  • 10Jayne DG, Guillou PJ, Thorpe H, et al. Randomized trial of laparoscopic-assisted resection of colorectal carcinoma: 3-year results of the UK MRC CLASICC Trial Group [J]. J Clin Oncol, 2007,25:3061-3068.

共引文献59

同被引文献287

  • 1杜晓辉,张红亮.腹腔镜右半结肠切除术外侧入路和内侧入路合理选择:争议与共识[J].中国实用外科杂志,2020,40(3):278-281. 被引量:37
  • 2黄新全,张奕文,邓玉军,周锦都,付祖德,陈亚仔.腹腔镜下右半结肠癌根治术不同手术入路的效果对比[J].今日健康,2016,15(4):38-38. 被引量:3
  • 3云文耀,吴礼武,刘德伟,陈海涛,肖康明,湛文龙.中间入路与外侧入路在全结肠系膜切除右半结肠癌根治术的临床效果比较[J].消化肿瘤杂志(电子版),2013,5(2):92-96. 被引量:7
  • 4Buunen M, Veldkamp R, Hop WC, et al. Survival after laparo- scopic surgery versus open surgery for colon cancer: long-term out- come of a randomised clinical trial [ J]. Lancet Oncol, 2009,10 ( 1 ) :44-52. DOI:10. 1016/S1470-2045(08)70310-3.
  • 5Veldkamp R, Kuhry E, Hop WC, et al. Laparoscopic surgery ver- sus open surgery for colon cancer: short-term outcomes of a ran- domised trial [ J ]. Lancet Onco1,2005,6 ( 7 ) :477-484. DOI : 10. 1016/S1470-2045 (05) 70221-7.
  • 6Fleshman J, Sargent D J, Green E, et al. Laparoscopic colectomy for cancer is not inferior to open surgery based on 5-year data from the COST Study Group Trial [ J ]. Ann Surg, 2007,246 (4) : 655- 664. DOI : 10. 1097/SLA. 0bO13e318155a762.
  • 7Juo YY, Hyder O, Haider AH, et al. Is minimally invasive colon resection better than traditional approaches?: First comprehensive national examination with propensity score matching [ J ]. JAMA Surg,2014, 149 (2) : 177-184. DOI: 10. 1001/jamasurg. 2013. 366O.
  • 8Li JC, Leung KL, Ng SS, et al. Laparoscopic-assisted versus open resection of right-sided colonic cancer-a prospective randomized controlled trial[ J ]. Int J Colorectal Dis, 2012,27 ( 1 ) : 95-102. DOI : 10. 1007/s00384-011-1294-5.
  • 9Stucky CC, Pockaj BA, Novotny PJ, et al. Long-term follow-up and individual item analysis of quality of life assessments related to laparoscopic-assisted colectomy in the COST trial 93-46-53 (INT 0146) [J]. Ann Surg Oncol,2011,18(9) :2422-2431. DOI:10. 1245/s10434-011-1650-2.
  • 10Zimmermann M, Benecke C, Jung C, et al. Laparoscopic resec- tion of right colon cancer- a matched pairs analysis [ J ]. Int J Colorectal Dis,2016,31 ( 7 ) : 1291-1297. DOI: 10. 1007/s00384- 016-2590-x.

引证文献44

二级引证文献224

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部