摘要
目的:探讨全结肠系膜切除(CME)应用于右半结肠癌合并肠梗阻手术中的疗效。方法:回顾性分析2013年1月-2019年12月在笔者所在医院行右半结肠癌合并肠梗阻手术的76例患者的临床资料。按照手术方式将患者分为两组,CME手术组36例,接受CME手术,对照组40例,接受传统手术。比较两组手术效果。结果:CME手术组手术时间短于对照组,术中出血量少于对照组,差异均有统计学意义(P<0.05);CME手术组淋巴结检出数量、淋巴结检出≥12枚患者占比均高于对照组,差异均有统计学意义(P<0.05),两组肿瘤分期、肿瘤浸润深度、淋巴结转移数量及神经脉管侵犯比例比较差异均无统计学意义(P>0.05);CME手术组术后排气时间早于对照组,术后住院时间短于对照组,差异均有统计学意义(P<0.05),两组术后恢复进食流食时间及术后并发症发生率比较差异均无统计学意义(P>0.05)。结论:与传统手术相比,右半结肠癌合并肠梗阻患者施行CME手术,可减少术中出血量,清扫更多淋巴结,缩短手术时间及术后住院时间。
Objective:To investigate the efficacy of complete mesocolic excision(CME)in operation of right-sided colon cancer with obstruction.Method:The clinical data of 76 patients with right-sided colon cancer complicated with ileus who underwent surgery in our hospital from January 2013 to December 2019 were retrospectively analyzed,according to the surgical method,the patients were divided into two groups,36 patients in the CME surgery group received CME surgery,and 40 patients in the control group received traditional surgery.The operation effects of the two groups were compared.Result:The operative time in the CME operation group was shorter than that in the control group,and the intraoperative blood loss was less than that in the control group,the differences were statistically significant(P<0.05).The number of lymph nodes detected and the proportion of patients detecting≥12 lymph nodes in the CME operation group were higher than those in the control group,the differences were statistically significant(P<0.05),there were no statistically significant differences between the two groups in tumor stage,tumor infiltration depth,number of lymph node metastasis,and proportion of neurovascular invasion(P>0.05).The postoperative exhaust time in the CME operation group was earlier than that in the control group and postoperative hospital stay in the CME operation group was shorter than that in the control group,the differences were statistically significant(P<0.05),there were no statistically significant differences in postoperative recovery time of fluid intake and postoperative complication incidence between the two groups(P>0.05).Conclusion:Compared with traditional surgery,CME surgery in patients with right-sided colon cancer complicated with ileus can reduce intraoperative blood loss,clean more lymph nodes,and shorten the operative time and postoperative hospital stay.
作者
华伟
梁志宏
刘书强
韩月锋
倪航航
HUA Wei;LIANG Zhihong;LIU Shuqiang;HAN Yuefeng;NI Hanghang(Xiaolan Hospital of Southern Medical University,Zhongshan 528415,China;不详)
出处
《中外医学研究》
2020年第23期13-16,共4页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
全结肠系膜切除
右半结肠癌
肠梗阻
Complete mesocolic excision
Right-sided colon cancer
Intestinal obstruction
