国际外科学杂志
國際外科學雜誌
국제외과학잡지
INTERNATIONAL JOURNAL OF SURGERY
2014年
2期
97-101,封3
,共6页
何杨%涂小煌%宋京翔%张再重
何楊%塗小煌%宋京翔%張再重
하양%도소황%송경상%장재중
右半结肠癌%完整结肠系膜切除%外科手术%治疗结果%手术后并发症
右半結腸癌%完整結腸繫膜切除%外科手術%治療結果%手術後併髮癥
우반결장암%완정결장계막절제%외과수술%치료결과%수술후병발증
Right-hemi colorectal cancer%Complete mesoeolic excision%Surgical procedures,operative%Treatment outcome%Postoperative complications
目的 对比全结肠系膜切除术与传统手术治疗右半结肠癌的安全性及疗效.方法 收集2010年1月1日-2010年10月1日南京军区福州总医院普通外科收治的69例右半结肠癌患者临床资料,随机分为两组,A组38例,行全结肠系膜切除术,B且31例,行传统手术,采用t检验,x2检验或秩和检验,分析对比两种术式的安全性及疗效.结果 两种术式在手术时间、术中出血量、术后排气排便时间、住院时间、并发症发病率、Ⅰ、Ⅱ期淋巴结清扫数目、Ⅱ期3年复发率及生存率、Ⅲ期系膜根部阳性淋巴结数的差异无统计学意义(P＞0.05).Ⅲ期淋巴结清扫数目[(22.76±6.94)枚、(15.11±7.85)枚]、Ⅲ期3年复发率(5.88％、45.45％)及生存率(94.12％、63.64％)、淋巴结清扫总数(20.56±7.11、13.92±6.62)、3年总复发率(7.89％、29.03％)及总生存率(94.74％、77.42％)的差异有统计学意义(P＜0.05).结论 与传统术式比较,全结肠系膜切除显著提高了Ⅲ期右半结肠癌根治效果,对Ⅰ、Ⅱ期右半结肠癌未见优势.
目的 對比全結腸繫膜切除術與傳統手術治療右半結腸癌的安全性及療效.方法 收集2010年1月1日-2010年10月1日南京軍區福州總醫院普通外科收治的69例右半結腸癌患者臨床資料,隨機分為兩組,A組38例,行全結腸繫膜切除術,B且31例,行傳統手術,採用t檢驗,x2檢驗或秩和檢驗,分析對比兩種術式的安全性及療效.結果 兩種術式在手術時間、術中齣血量、術後排氣排便時間、住院時間、併髮癥髮病率、Ⅰ、Ⅱ期淋巴結清掃數目、Ⅱ期3年複髮率及生存率、Ⅲ期繫膜根部暘性淋巴結數的差異無統計學意義(P＞0.05).Ⅲ期淋巴結清掃數目[(22.76±6.94)枚、(15.11±7.85)枚]、Ⅲ期3年複髮率(5.88％、45.45％)及生存率(94.12％、63.64％)、淋巴結清掃總數(20.56±7.11、13.92±6.62)、3年總複髮率(7.89％、29.03％)及總生存率(94.74％、77.42％)的差異有統計學意義(P＜0.05).結論 與傳統術式比較,全結腸繫膜切除顯著提高瞭Ⅲ期右半結腸癌根治效果,對Ⅰ、Ⅱ期右半結腸癌未見優勢.
목적 대비전결장계막절제술여전통수술치료우반결장암적안전성급료효.방법 수집2010년1월1일-2010년10월1일남경군구복주총의원보통외과수치적69례우반결장암환자림상자료,수궤분위량조,A조38례,행전결장계막절제술,B차31례,행전통수술,채용t검험,x2검험혹질화검험,분석대비량충술식적안전성급료효.결과 량충술식재수술시간、술중출혈량、술후배기배편시간、주원시간、병발증발병솔、Ⅰ、Ⅱ기림파결청소수목、Ⅱ기3년복발솔급생존솔、Ⅲ기계막근부양성림파결수적차이무통계학의의(P＞0.05).Ⅲ기림파결청소수목[(22.76±6.94)매、(15.11±7.85)매]、Ⅲ기3년복발솔(5.88％、45.45％)급생존솔(94.12％、63.64％)、림파결청소총수(20.56±7.11、13.92±6.62)、3년총복발솔(7.89％、29.03％)급총생존솔(94.74％、77.42％)적차이유통계학의의(P＜0.05).결론 여전통술식비교,전결장계막절제현저제고료Ⅲ기우반결장암근치효과,대Ⅰ、Ⅱ기우반결장암미견우세.
Objective To compare the clinical safety and efficacy of complete mesoeolic excision (CME) for right-hemi colorectal cancer with traditional surgical treatment.Methods Collectting the clinical data of 69 cases,who randonly divided into two groups,A group induced 38 cases and were implemented regular CME,and B group induded 31 cases which were implemented traditional surgery of right-hemi colorectal cancer patients from the Department of General surgery,Fuzhou General Hospital of Nanjing Military Region from Jan.1 2010 to Oct.1 2010,and comparing the safety and efficacy.Results The differences between and traditional surgery in terms of operation time,blood loss,exhaust and defecation time,hospitalization time,the rate of postoperative complication,the number of removed lymph node of Ⅰ and Ⅱ phase,3-year recurrence rate of Ⅱ phase,3-year survival rate of Ⅱ phase and the number of removed lymph node of Ⅲ phase in mesentery root were not significant.The differences in terms of the number of removed lymph node of Ⅲ phase(22.76 ± 6.94,15.11 ± 7.85),3-year recurrence rate of Ⅲ phase(5.88％,45.45％),3-year survival rate of Ⅲ phase (94.12％,63.64％),the total number of removed lymph node(20.56 ± 7.11,13.92 ± 6.62),3-year overall recurrence rate(7.89％,29.03％)and 3-year overall survival rate (94.74％,77.42％) were significant.Conclusions Comparing with traditional surgery,CME significantly benefits the patients of right-hemi colorectal cancer with stage Ⅲ,but not for patients with stage Ⅰ and Ⅱ.
