CAJ | 학술논문

目的：比较完全腹腔镜与腹腔镜辅助右半结肠根治术的治疗效果。方法回顾性分析我科2009年3月～2012年3月采用完全腹腔镜右半结肠切除术32例与同期30例腹腔镜辅助右半结肠切除术治疗结肠癌的临床资料，比较手术安全性及其疗效。结果2组术后均无严重并发症及死亡。2组在手术时间、术中出血量、淋巴结切除数量、标本长度、排气时间、住院时间等方面差异无显著性（P＞0．05）。2组中位生存期分别为55．0月及57．0月，差异无显著性（log-rank χ2＝0.995，P＝0．318）。结论完全腹腔镜和腹腔镜辅助右半结肠切除术治疗结肠癌可获得相同手术安全性及肿瘤学疗效。完全腹腔镜右半结肠切除术更加微创，但手术要求更高。
목적：비교완전복강경여복강경보조우반결장근치술적치료효과。방법회고성분석아과2009년3월～2012년3월채용완전복강경우반결장절제술32례여동기30례복강경보조우반결장절제술치료결장암적림상자료，비교수술안전성급기료효。결과2조술후균무엄중병발증급사망。2조재수술시간、술중출혈량、림파결절제수량、표본장도、배기시간、주원시간등방면차이무현저성（P＞0．05）。2조중위생존기분별위55．0월급57．0월，차이무현저성（log-rank χ2＝0.995，P＝0．318）。결론완전복강경화복강경보조우반결장절제술치료결장암가획득상동수술안전성급종류학료효。완전복강경우반결장절제술경가미창，단수술요구경고。
Objective To compare surgical efficacy between totally laparoscopic and laparoscopic -assisted right hemicolectomy for colon carcinoma . Methods Between March 2009 and March 2012, 32 patients underwent totally laparoscopic right hemicolectomy and 30 patients underwent laparoscopic-assisted right hemicolectomy for colon carcinoma in our department .A retrospective analysis was made between the two groups in operative safety index and efficacy . Results No severe complications or perioperative deaths were observed in both groups .There were no significant differences between the two groups in terms of operative time, intraoperative bleeding , number of harvested lymph nodes , time to first flatus, and postoperative period of hospital stay ( P>0.05).The median survival time between two groups were 55.0 months and 57.0 months, respectively, without significant difference (log-rank χ2 =0.995, P=0.318). Conclusions Totally laparoscopic and laparoscopic-assisted right hemicolectomy can achieve similar operative safety and oncologic outcomes for colon carcinoma .Totally laparoscopic right hemicolectomy bears more minimal invasion than laparoscopic-assisted right hemicolectomy but need more complicated techniques .