CAJ | 학술논문

目的：探讨左手控制技术在右半结肠癌全结肠系膜切除（ CME）中的应用。方法选择右半结肠癌患者共70例，分为研究组和对照组各35例，其中研究组采用右半结肠癌完整肠系膜切除，术中采用左手控制技术，对照组采用传统手术方法，比较两组的手术效果和预后。结果两组在手术时间、术中出血量、术后排气排便时间、术后并发症、住院时间无显著差异（ P >0.05），但是研究组淋巴结清扫数均值显著高于对照组（ P <0.05）。研究组随访中发现复发3例（8.82%），死亡1例（2.94%）。对照组发现复发9例（27.3%），死亡6例（18.18%），研究组复发率和死亡率显著低于对照组（ P <0.05）。结论采用左手控制技术在右半结肠癌完整结肠系膜切除术中较传统术式能明显提高右半结肠癌患者的生存率。
목적：탐토좌수공제기술재우반결장암전결장계막절제（ CME）중적응용。방법선택우반결장암환자공70례，분위연구조화대조조각35례，기중연구조채용우반결장암완정장계막절제，술중채용좌수공제기술，대조조채용전통수술방법，비교량조적수술효과화예후。결과량조재수술시간、술중출혈량、술후배기배편시간、술후병발증、주원시간무현저차이（ P >0.05），단시연구조림파결청소수균치현저고우대조조（ P <0.05）。연구조수방중발현복발3례（8.82%），사망1례（2.94%）。대조조발현복발9례（27.3%），사망6례（18.18%），연구조복발솔화사망솔현저저우대조조（ P <0.05）。결론채용좌수공제기술재우반결장암완정결장계막절제술중교전통술식능명현제고우반결장암환자적생존솔。
Objective To investigate the left hand control technology in complete mesocolic excision( CME)in patients with right colon cancer. Methods Seventy patients with right colon cancer were divided into study group and control group(35 cases each),in which,the full right colon mesentery resection and left hand control technology was used in the study group,and conventional surgical methods in the control group. Surgical results and prognosis were compared. Results Operative time,blood loss,postoperative exhaust defecation time,postoperative complications,length of hospital stay had no significant difference between two groups,but there was significant difference between the two groups in the number of lymph node dissection. In study group,the mean number of lymph node dissection was significantly higher than the control. Fol-low-up in study group found that 3 cases had recurrence(8. 82%)and 1 patient died(2. 94%),but in control group,we found 9 cases of re-currence(27. 3%)and 6 cases(18. 18%)died. Recurrence and mortality in study group was significantly lower than the control group. Conclu-sion The left hand control technique in CME can significantly improve overall survival rate in patients with right colon cancer compared with con-ventional surgical procedures.