摘要
目的探究腹腔镜右半结肠切除术治疗结肠癌的短期临床疗效,以供参考。方法选取我院2015年3月至2017年2月期间收治的88例结肠癌患者作为研究对象。将所有患者随机均分成实验组、对照组,各44例。给予对照组患者开腹手术切除右半结肠,给予实验组患者腹腔镜下右半结肠切除术。观察、对比两组患者的手术时间、术中出血量、术后首次排气时间、住院时间、淋巴结清扫数目、术后1年生存情况及术后1周不良反应发生情况等。结果实验组患者手术时间长于对照组,术中出血量、术后首次排气时间、住院时间短于对照组,P<0.05,差异有统计学意义。实验组患者淋巴结清扫数目高于对照组,P<0.05,差异有统计学意义。术后12个月时随访时,实验组患者生存率95.45%高于对照组81.82%,P<0.05,差异有统计学意义。术后1周,实验组患者不良反应发生率4.55%低于对照组的27.27%,P<0.05,差异有统计学意义。结论与传统开腹手术切除右半结肠相比,给予结肠癌患者腹腔镜右半结肠切除术能够有效改善患者病情,缩短患者住院时间,减少术中出血量,升高淋巴结清扫数目减少术后不良反应发生率,提高短期生存率,值得临床深入研究及应用。
Objectives To explore the short-term clinical efficacy of laparoscopic right hemicolectomy for colon cancer for reference.Methods Eightyeight colon cancer patients admitted to our hospital from March 2015 to February 2017 were selected as subjects.All patients were randomly divided into experimental group and control group,44 cases each.The control group was given a laparotomy to remove the right colon,and the experimental group was given a laparoscopic right colon resection.The operation time,the amount of intraoperative blood loss,the first exhaust time,the length of hospital stay,the number of lymph node dissection,the survival after 1 year,and the incidence of adverse reactions 1 week after operation were observed and compared.Results The operation time of the experimental group was longer than that of the control group.The intraoperative blood loss,the first exhaust time and the hospitalization time were shorter than the control group,P<0.05,the difference was statistically significant.The number of lymph node dissection in the experimental group was higher than that in the control group,P<0.05,and the difference was statistically significant.At 12 months postoperatively,the survival rate of the experimental group was 95.45%higher than that of the control group(81.82%,P<0.05).The difference was statistically significant.One week after operation,the incidence of adverse reactions in the experimental group was 4.55%lower than 27.27%in the control group,P<0.05,and the difference was statistically significant.Conclusion Compared with the traditional right ventral resection of the right colon,laparoscopic right hemicolectomy can effectively improve the patient's condition,shorten the operation time,hospitalization time,reduce the amount of intraoperative blood loss,and increase the number of lymph node dissection.The incidence of adverse reactions and the improvement of short-term survival rate are worthy of clinical research and application.
作者
白佳辉
王司琪
BAI Jia-hui;WANG Si-qi(Siping City Central People's Hospital,Siping 136000,China)
出处
《中国医药指南》
2020年第9期11-12,共2页
Guide of China Medicine
关键词
腹腔镜
右半结肠切除术
结肠癌
短期疗效
Laparoscopy
Right hemicolectomy
Colon cancer
Short-term efficacy
