摘要
目的比较分析腹腔镜辅助右半结肠癌根治术与开腹手术的临床应用效果。方法选择2016年6月~2017年6月进行手术治疗的结肠癌患者64例,均经病理证实,64例入选患者中,32例行腹腔镜右半结肠癌根治术(腹腔镜组),32例采取开腹右半结肠癌根治术(开腹组),对比分析两组各项手术观察指标。结果腹腔镜组32例手术均获成功,无一例中转开腹。腹腔镜组患者的手术时间与开腹组比较明显缩短,术中出血量显著减少,术后排气时间及住院时间分别明显短于开腹组,两组比较差异具有显著性(P<0.05)。腹腔镜组32例中无一例出现吻合口瘘、尿潴留及不完全肠梗阻,其并发症发生率为3.1%,明显低于开腹组的28.1%,两组比较差异具有显著性(P<0.05)。结论腹腔镜辅助右半结肠癌根治术与开腹手术相比更具优势,术后并发症少,住院时间短,有利于促进患者术后恢复,提高生活质量,延长生存期,值得临床广泛推广和应用。
Objective To investigate the clinical effectiveness of laparoscopic and open right hemicolectomy. Methods 64 patients with colon cancer who were confirmed by pathological method and under operation in our hospital from June 2016 to June 2017 were selected. 32 patients were under laparoscopic right hemicolectomy（laparoscope group） and32 patients were under open right hemicolectomy（open group）. Indicators of operation in two groups were compared and analyzed. Results 32 cases of laparoscopic right hemicolectomy in laparoscope group were successful without any case turning to open right hemicolectomy. Compared with open group, significantly shorter duration of operation, less blood loss during operation, shorter exhaust time and shorter time of hospitalization in laparoscope group were found（P0.05）.Anastomotic fistula, retention of urine and incomplete intestinal obstruction were not found in any case of laparoscope group. The incidence of complication in laparoscope group was 3.1%, which was significantly lower than that in open group（28.1%）（P0.05）. Conclusion Laparoscopic right hemicolectomy is better than open right hemicolectomy with less complications after operation and shorter time of hospitalization. It could promote the recovery after operation, improve the quality of life and increase survival. It is worth clinical promotion and application.
作者
郭培东
张鲁洲
GUO Peidong;ZHANG Luzhou(Department of Anorectal Gastrointestinal Surgery, Zhucheng People＇s Hospital in Shandong Province, Zhucheng 262200, Chin)
出处
《中国现代医生》
2018年第11期43-45,共3页
China Modern Doctor
