摘要
目的观察右半结肠D3淋巴结清扫术对腹腔镜右半结肠癌根治术患者疗效。方法选取2019年10月至2021年1月收治的199例右半结肠瘤患者进行研究,采用随机数表法将患者分为D3组(n=100例)和D2组(n=99例),两组患者均接受腹腔镜右半结肠癌根治术,D3组行D3淋巴结清扫术,D2组行D2淋巴结清扫术。应用SPSS22.0统计学软件进行数据分析,围手术期各项指标等计量资料以(x±s)表示,采用独立样本t检验;术后并发症等计数资料采用 χ^(2)检验。以P<0.05表示差异有统计学意义。结果D3组患者淋巴结清扫数多于D2组(P<0.05),D3组患者手术时间、引流时间和住院时间均长于D2组,差异均有统计学意义(P<0.05);D3组和D2组患者并发症发生率分别为3.0%和10.1%,D3组低于D2组(P<0.05)。结论D3淋巴结清扫术可明显提升腹腔镜右半结肠癌根治术疗效,建议推广应用。
Objective To observe the ficacy of D3 lymph node dissection of right colon on patients undergoing laparoscopic radical resection of right colon cancer.Methods199 patients with right colon cancer treated from October 2019 to January 2021 were selected for study.They were divided by the random number table method into D3 group(n=100 cases)and D2 group(n=99 cases).Both groups received laparoscopic radical resection of right colon cancer,while group D3 underwent D3 lymph node dissection and group D2 undewent D2 lymph node dissection.SPSS22.O statistical software was used for data analysis.The measurement data of perioperative indexes were expressed by(x±s),and independent t test was used;the count data of postoperative complications were tested by χ^(2) test,and the statistical significant difference was expressed by P<0.05.ResultsThe number of lymph node dissection of patients in group D3 was more than that in group D2(P<0.05),the operation time,drainage time and hospitalization time in D3 group were longer than those in D2 group(P<0.05);the incidence of complications in group D3 and D2 were 3.0%and 10.1%respectively.The incidence of complications in group D3 was lower than that in group D2(P<0.05).ConclusionD3 lymphadenectomy can significantly improve the efficacy of laparoscopic radical resection of right colon cancer,which is recommended to be popularized.
作者
王凌风
林圣涛
杨常顺
蔡少鑫
叶峰
李伟华
Wang Lingfeng;Lin Shengtao;Yang Changshun;Cai Shaoxin;Ye Feng;Li Weihua(Clinical Medical College of Fujian Medical University,Fuzhou Fujian Province 350001,China;Department of Oncology,Fujian Provincial Hospital,Fuzhou Fujian Province 350001,China;Department of General Surgery,Xiamen First People's Hospial,Xiamen Fujian Province 36100l,China)
出处
《中华普外科手术学杂志（电子版）》
2022年第5期499-501,共3页
Chinese Journal of Operative Procedures of General Surgery(Electronic Edition)
基金
2020年福建省自然科学基金项目(2020J011238)。
