摘要
目的:分析腹腔镜下右半结肠癌切除术的效果及应用价值。方法:回顾对比分析内蒙古自治区人民医院胃肠外科2014-07~2016-12期间行手术治疗的右半结肠癌病人51例,其中腹腔镜下行右半结肠癌根治术26例,开腹右半结肠癌根治术25例,观察两组手术时间、术中出血量,术后肛门排气时间、术后住院时间、淋巴结清扫数,并发症等指标。结果:腹腔镜组手术时间122.7±12.4min长于开腹组114.6±10.4min,术后肛门排气时间46.8±5.0h小于开腹组的60.3±5.8h,术后住院时间8.0±0.96d短于开腹组的11.0±0.87d,两组病人比较差异均有统计学意义(P<0.05)。术中出血腹腔镜组为87.3±22.9m L,开腹组为86.6±18.2m L、腔镜组清除淋巴结数17.9±3.9枚,开腹组清除淋巴结数18.4±3.0枚,无统计学意义(P>0.05)。结论:腹腔镜下右半结肠癌切除术是一种安全有效的手术方法,具有住院时间短、肠道功能恢复快、创伤小的优点,在临床中值得广泛应用。
Objective:The effect and application value of right colon cancer resection under Laparoscopy.Methods:A retrospective analysis of gastrointestinal surgery in our hospital from July 2014 to December 2016 period of surgical treatment of right colon cancer patients in 51 cases,26 patients underwent laparoscopic radical right colon cancer radical surgery and 25 patients underwent open radical operation of right colon cancer.Observed the two groups of operation time,intraoperative blood loss,Postoperative anal exhaust time,postoperative hospital stay,lymph node dissection,complications and other indicators.Results:Laparoscopic operation time 122.7±12.4 min was longer than that in open group 114.6±10.4 min,Postoperative anal exhaust time 46.8±5.0 hours less than the open group 60.3±5.8 hours,The postoperative hospital stay 8.0±0.96 days was shorter than that in the open group 11.0±0.87 days,There were significant differences between the two groups P<0.05.87.3±22.9 mL in the laparoscopic group and 86.6±18.2 mLin the laparotomy group 17.9±3.9 lymph nodes in the laparoscopic group and 18.4±3.0 lymph nodes in the laparotomy group P>0.05.Conclusion:Laparoscopic right colon cancer resection is a safe and effective surgical method,which has the advantages of short hospitalization time,quick recovery of intestinal function and less trauma.It is worthy to be widely used in clinical practice.
作者
李海军
王举
姜洪伟
王永强
齐鸣
苏秀兰
欧阳晓晖
LI Hai-jun;WANG Ju;JIANG Hong-wei(Inner Mongolia Autonomous Region People’s Hospital,Hohhot 010017 China)
出处
《内蒙古医科大学学报》
2018年第1期45-49,共5页
Journal of Inner Mongolia Medical University
基金
国家自然科学基金(81260058)
