摘要
目的探讨完整结肠系膜切除(comeplete mesocolic excision,CME)在中间入路腹腔镜右半结肠癌根治术中的可行性及近期疗效。方法回顾性分析20例腹腔镜右半结肠CME手术与27例开腹手术患者的临床资料,比较2组的一般情况、手术学指标、术后恢复情况。结果 CME组手术时间显著长于对照组,术中出血量、术后住院时间明显少于对照组,清扫淋巴结数目显著多于对照组,差异均有统计学意义(P<0.05);2组间所切标本长度、肿瘤大小、术后并发症发生率差异均无统计学意义(P>0.05)。结论右半结肠癌行腹腔镜中间入路CME安全可行,近期疗效优于开腹手术。
Objective To investigate the application and short-term efficacy of laparoscopic comeplete mesocolic excision(CME)with a medical-to-lateral approach for right colonic cancer.Methods Clinical data of 47 cases of right colon cancer were analyzed retrospectively.Twenty cases in observation group underwent laparoscopic CME and 27 patients in control group received the traditional open surgery.Demography,surgical procedure,operation indicators and shortterm outcomes were compared in two groups.Results All patients have undergone operations successfully.The operative time in CME group was longer than that in the control group,the number of harvested lymph node in CME and control group respectively,intraoperative blood loss,and the postoperative hospital stay in CME and control group respectively,which both were significantly different(P<0.05),whereas the incidence of postoperative complications in two group were not significantly different(P>0.05).Conclusion Laparoscopic CME with a medicalto-lateral approach for right colonic cancer is safe and feasible,and associated with better shortterm outcomes when compared with open surgery.
出处
《河北医科大学学报》
CAS
2017年第11期1279-1282,共4页
Journal of Hebei Medical University
关键词
结肠肿瘤
腹腔镜
治疗结果
colonic neoplasms
laparoscopes
treatment outcome
