腹腔镜辅助与开腹右半结肠切除术非随机临床对比研究  

Laparoscopic versus open right hemicolectomy:a non-randomized comparative study

作　　者：周后军 王存川[2] 任亦星[2] 曾宪武 潘运龙[2] 许朋[2] 胡友主[2] 陈鋆[2] 

机构地区：[1]湖南省洞口县石江中心医院外科,湖南洞口422302 [2]暨南大学附属第一医院普通外科,广东广州510630

出　　处：《中国普通外科杂志》2008年第12期1188-1191,共4页China Journal of General Surgery

摘　　要：目的对比腹腔镜辅助右半结肠切除术和开放右半结肠切除术的临床效果。方法分析同期行26例腹腔镜辅助右半结肠切除术(腔镜组)和37例行传统开放右半结肠切除术(开腹组)的临床资料,比较两组的手术时间、术中出血量、术后镇痛药的需求、术后肛门排气时间、排便时间、术后引流量、术后引流时间、术后住院时间、术后并发症等指标。结果两组的手术时间、术后引流量、术后引流时间间差异无统计学意义;腔镜组的出血量(113.20±60.60)mL明显少于开腹组(295.95±76.72)mL(t=-9.982,P=0.000);腔镜组术后镇痛药需求比例(48.0%)低于开放组(83.8%)(χ2=7.384,P=0.007);术后肛门排气排便时间腔镜组均小于开腹组(P=0.000);术后住院时间腔镜组(6.20±1.32)d短于开腹组(11.43±2.35)d,(t=-11.169,P=0.000)。结论腹腔镜辅助右半结肠切除术是一种安全、可行的办法,具有明显的微创效果。Objective To compare the clinical efficiency of laparoscopic right hemicolectomy with conventional open right hemicolectomy in a non-randomized study. Methods The clinical records of 26 patients who underwent laparoscopic right hemicolectomy （laparoscopy group ） and 37 patients who underwent conventional open laparoscopic right hemicoleetomy （ open group ） were analyzed. The operative time, blood loss, drainage volume, drainage time, analgesic requirements, time of passage of flatus and stool, time of postoperative stay, and postoperative complications were compared. Results One patient in the laparoscopy group was converted to open surgery. There were no significant differences in operative time, drainage volume and drainage time. Blood loss was significantly less in laparoscopy group （ 113.20±60. 60 ） mL than in open group（295. 95 ± 76. 72） mL （ t = - 9. 982, P = 0. 000 ）. The analgesic requirement was significantly less in laparoscopy group （48.0%） than in open group（83. 8%） （X2 =7. 384, P =0.007）. The postoperative time of passage of flatus and stool, and postoperative stay in laparoscopy group were respectively significantly shorter than those in open group （ P〈0. 05 ）. Conclusions Laparoscopic right hemicolectomy is a feasible and safe procedure, With excellent minimally invasive effect.

关 键 词：结肠切除术 腹腔镜外科手术 结肠 升 对比研究 

分 类 号：R656.9[医药卫生—外科学]