摘要
目的探讨右半结肠癌腹腔镜中间尾侧联合入路与开腹中间入路的疗效对比。方法回顾分析2015年01月至2017年12月在我科收治的54例右半结肠癌根治术患者,观察组(n=26),对照组(n=28)。观察组采用:腹腔镜中间尾侧联合入路;对照组采用:开腹中间入路。统计两组围手术期情况(手术时间、术中出血量、淋巴结清扫量、开始进食时间、拔腹引管时间、肛门排气时间、住院天数、吻合口瘘,切口感染、肺部感染、双下肢深静脉血栓)。结果观察组术中出血量、开始进食时间、拔腹引管时间、肛门排气时间、住院天数短于对照组(P<0.001)。手术时间、淋巴结清扫量大于对照组。(P<0.001)。结论观察组与对照组相比较具有术中出血较少,淋巴结清扫更彻底。肛门排气时间、开始进食时间、拔腹腔引流管时间较对照组明显缩短。
Objective to investigate the curative effect contrast between laparoscopic intermediate caudal combined approach and laparotomy intermediate approach in radical resection of right colon cancer.Methods We retrospectively analyzed 54 patients who were underwent radical resection of right colon cancer in our department from January 2015 to December 2017,the observation group(n=26)and the control group(n=28).The observation group was treated with laparoscopic intermediate caudal combined approach while the control group were treated with laparotomy intermediate approach.The perioperative period conditions of these two groups of patients were counted.(Operative time,the intraoperative bleeding volume,the amount of lymph node dissection,the time when start eating,the extubation time of peritoneal drainage tube,anal exhaust time,hospitalization days,anastomotic fistula,incision infection,pulmonary infection,deep venous thrombosis of both lower extremities).Results the intraoperative bleeding volume,the time when start eating,the extubation time of peritoneal drainage tube,anal exhaust time and hospitalization days in the observation group were shorter than those in the control group(P<0.001).The operative time and the amount of lymph node dissection was larger than those in the control group(P<0.001).Conclusion Compared with the control group,the observation group has less intraoperative bleeding and more complete lymph node dissection.The anal exhaust time,the time when start eating and the extubation time of peritoneal drainage tube were shorter than those in the control group.
作者
周诗入
陈丛平
谭竹川
陈自力
Zhou Shiru;Chen Congping;Tan Zhuchuan;Chen Zili
出处
《当代临床医刊》
2020年第5期401-403,共3页
Journal of Contemporary Clinical Medicine
关键词
中间入路
右半结肠癌
腹腔镜
intermediate approach
right colon cancer
laparoscope
