中国现代医生
中國現代醫生
중국현대의생
CHINA MODERN DOCTOR
2014年
18期
113-115
,共3页
腹腔镜辅助右半结肠癌根治术%开腹右半结肠癌根治术%手术并发症
腹腔鏡輔助右半結腸癌根治術%開腹右半結腸癌根治術%手術併髮癥
복강경보조우반결장암근치술%개복우반결장암근치술%수술병발증
Laparoscopic-assisted radical resection of right colon cancer%Open radical resection of right colon can-cer%Surgical complication
目的：对比腹腔镜辅助右半结肠癌根治术与开腹右半结肠癌根治术在右半结肠癌根治术中的应用价值。方法选取53例行腹腔镜辅助右半结肠癌根治术患者作为腹腔镜组，选取同期52例行开腹右半结肠癌根治术患者作为开腹组，对比手术情况、术后功能恢复情况、术后并发症、术后局部复发和转移情况。结果腹腔镜组术中出血量、肠道排气时间和住院时间明显少（短）于开腹组（P＜0.01）；腹腔镜组术后并发症发生率9.43%，明显低于开腹组30.77%（P＜0.01）；腹腔镜组局部复发率7.55%、转移率3.77%，与开腹组15.38%、13.46%比较，差异不显著（P＞0.05）。结论与开腹右半结肠癌根治术比较，腹腔镜辅助右半结肠癌根治术具有术中出血量少、肠道功能恢复快、并发症发生率低和住院时间短等优势，符合肿瘤根治性原则，值得临床对术式和效果进行大样本、长时间随访验证。
目的：對比腹腔鏡輔助右半結腸癌根治術與開腹右半結腸癌根治術在右半結腸癌根治術中的應用價值。方法選取53例行腹腔鏡輔助右半結腸癌根治術患者作為腹腔鏡組，選取同期52例行開腹右半結腸癌根治術患者作為開腹組，對比手術情況、術後功能恢複情況、術後併髮癥、術後跼部複髮和轉移情況。結果腹腔鏡組術中齣血量、腸道排氣時間和住院時間明顯少（短）于開腹組（P＜0.01）；腹腔鏡組術後併髮癥髮生率9.43%，明顯低于開腹組30.77%（P＜0.01）；腹腔鏡組跼部複髮率7.55%、轉移率3.77%，與開腹組15.38%、13.46%比較，差異不顯著（P＞0.05）。結論與開腹右半結腸癌根治術比較，腹腔鏡輔助右半結腸癌根治術具有術中齣血量少、腸道功能恢複快、併髮癥髮生率低和住院時間短等優勢，符閤腫瘤根治性原則，值得臨床對術式和效果進行大樣本、長時間隨訪驗證。
목적：대비복강경보조우반결장암근치술여개복우반결장암근치술재우반결장암근치술중적응용개치。방법선취53례행복강경보조우반결장암근치술환자작위복강경조，선취동기52례행개복우반결장암근치술환자작위개복조，대비수술정황、술후공능회복정황、술후병발증、술후국부복발화전이정황。결과복강경조술중출혈량、장도배기시간화주원시간명현소（단）우개복조（P＜0.01）；복강경조술후병발증발생솔9.43%，명현저우개복조30.77%（P＜0.01）；복강경조국부복발솔7.55%、전이솔3.77%，여개복조15.38%、13.46%비교，차이불현저（P＞0.05）。결론여개복우반결장암근치술비교，복강경보조우반결장암근치술구유술중출혈량소、장도공능회복쾌、병발증발생솔저화주원시간단등우세，부합종류근치성원칙，치득림상대술식화효과진행대양본、장시간수방험증。
Objective To compare the application value of laparoscopic-assisted radical resection of right colon cancer and open radical resection of right colon cancer. Methods Fifty-three patients receiving laparoscopic-assisted radical resection of right colon cancer were selected as the laparoscopy group and fifty-two patients receiving open radical re-section of right colon cancer were selected as the laparotomy group. The operative situation, postoperative functional re-covery situation, postoperative complications, postoperative local recurrence and metastasis situation of the two groups were compared. Results The laparoscopy group had less (shorter) intraoperative blood loss, intestinal exhaust time and length of hospital stay than the laparotomy group(P<0.01); The incidence of postoperative complications of the la-paroscopy group was 9.43%, which was significantly lower than the 30.77%of the laparotomy group(P<0.01);The local recurrence rate and metastasis rate of the laparoscopy group were 7.55% and 3.77%, which were not significantly dif-ferent from the 15.38%and 13.46%of the laparotomy group (P>0.05). Conclusion Compared to open radical resection of right colon cancer, laparoscopic-assisted radical resection of right colon cancer has the advantages of less intraoper-ative blood loss, faster recovery of bowel function, lower incidence of complications and shorter hospital stay, which is in line with radical treatment principles of tumor and worthy of clinical large-sample and long-term follow-up verifica-tion on surgical methods and effects.
