摘要
目的对比分析腹腔镜下不同入路右半结肠根治术的临床效果。方法抽取2020年1月至2021年10月许昌中医院收治的86例右半结肠癌患者作为研究对象,采用随机数字表法分为两组,每组43例。A组实施腹腔镜下中间入路右半结肠根治术,B组实施腹腔镜下尾侧联合内侧入路右半结肠根治术,两组均随访至术后1个月。比较两组围术期指标(手术时间、淋巴结清扫数目、术中出血量、术后首次排气时间、住院时间),观察两组并发症(切口感染、尿路感染、肠梗阻)发生情况。结果两组住院时间比较,差异未见统计学意义(P>0.05);B组手术时间、术后首次排气时间短于A组,术中出血量少于A组,淋巴结清扫数目多于A组(P均<0.05);A组并发症发生率(6.98%,3/43)与B组(4.65%,2/43)比较,差异未见统计学意义(P>0.05)。结论两种腹腔镜下入路方式对右半结肠癌患者安全性相当,但相比腹腔镜下中间入路右半结肠根治术治疗,腹腔镜下尾侧联合内侧入路右半结肠根治术可有效缩短患者手术时间及术后排气时间,降低术中出血量,提高淋巴结清扫数目。
Objective To compare and analyze the clinical effects of laparoscopic right hemicolectomy via different approaches.Methods Eighty-six patients with right colon cancer treated in Xuchang Hospital of Traditional Chinese Medicine from January 2020 to October 2021 were selected as the research subjects.They were divided into two groups by random number table method,with 43 cases in each group.Group A was treated by laparoscopic middle approach right hemicolectomy,and group B was treated by caudal combined medial approach right hemicolectomy.Both groups were followed up to 1 month after operation.The perioperative indexes(operation time,number of lymph node dissections,intraoperative bleeding,first postoperative exhaust time,hospital stay)were compared between the two groups.And the occurrence of complications(incision infection,urinary tract infection,intestinal obstruction)was observed.Results There was no statistical significant difference in hospital stay between the two groups(P>0.05).Compared with these indexes in the group A,the group B had shorter operation time and the first postoperative exhaust time,less intraoperative bleeding,more lymph node dissections(all P<0.05);There was no significant difference in the incidence of complications between the group A(6.98%,3/43)and the group B(4.65%,2/43),P>0.05.Conclusions The two methods of laparoscopy have comparable safety for patients with right colon cancer.However,compared with laparoscopic middle approach right hemicolectomy,laparoscopic caudal combined with medial approach right hemicolectomy can effectively shorten the operation and postoperative exhaust time,reduce the amount of intraoperative bleeding,and improve the number of lymph node dissections.
作者
赵俊立
任莹坤
马伟琳
Zhao Junli;Ren Yingkun;Ma Weilin(Xuchang Hospital of Traditional Chinese Medicine,Xuchang 461000,China;Henan Cancer Hospital,Zhengzhou 450000,China)
出处
《中国实用医刊》
2022年第16期49-51,共3页
Chinese Journal of Practical Medicine
关键词
结肠癌
右半结肠根治术
中间入路
尾侧联合内侧入路
Colon cancer
Right hemicolectomy
Intermediate approach
Audal combined medial approach
