摘要
目的探讨右侧Toldt间隙入路联合内侧入路法在右半结肠切除术中的临床应用价值。方法回顾性分析郑州人民医院胃肠外科2011年1月至2014年10月间67例行右半结肠切除术的病例资料,随机分成2组,观察组32例应用右侧Toldt间隙入路联合内侧入路法,对照组35例采用传统右侧入路法,观察两组资料在手术时间、术中出血量、淋巴结清扫数目及住院时间有无差别。结果术后观察组手术时间和术中出血量较对照组减少(P<0.05);观察组清扫淋巴结总数目、第3站淋巴结清扫数目明显增加(P<0.05);观察组中III期患者清扫淋巴结数目及第3站淋巴结清扫数目较对照组明显增加(P<0.05);两组患者在住院时间上差异不明显(P>0.05)。结论应用右侧Toldt间隙入路联合内侧入路法行右半结肠切除术可提高手术的根治性,明显减少手术时间和出血量。
Objective To explore the value of right Toldt space approach combined medial approach method in the application of the right half colon resection. Methods Retrospectively analyze the date of the department of gastrointestinal surgery of zheng zhou people＇s hospital from July,2011 to Octobe,2014,which was performed with the right hemicolectomy operation,and randomly divided into 2 groups. 32 cases of the observation group used the right Toldt space approach of combined with the medial approach,35 cases in the control group using the traditional right approach method,observe the difference of the two groups in operative time,bleeding volume,the number of lymph node dissection and hospitalization time. Results Postoperative the operation time and intraoperative blood loss of observation group compared with the control group decreased（ P〈0. 05）; In observation group,the total number of lymph node dissection,and the third station lymph node dissection number increased significantly（ P〈0. 05）,and the total dissection number of lymph node and the third station lymph node in patients with stage III also increased significantly（ P〈0. 05）,and the two group at the time of hospitalization is not obvious difference（ P〈0. 05）. Conclusion The application of the right Toldt space approach of combined endoscopic middle approach for resection of the right colon can improve the radical surgery,significantly reduce the operation time and bleeding volume.
出处
《医药论坛杂志》
2015年第2期6-8,11,共4页
Journal of Medical Forum
基金
河南省科技创新人才计划项目(132102310378)
