腹腔镜与开腹手术治疗右半结肠癌的临床效果比较  

Comparison of the clinical effectiveness of laparoscopic versus open hemicolectomy for right colon carcinoma

作　　者：李云涛[1] 侯康[1] 刘展[1] 夏乡[1] 刘雁军[1] 江山红[1] 何欢[1] 古建辉[1] 任海亮[1] 

机构地区：[1]成都市第三人民医院普外科二科,四川成都610031

出　　处：《实用医院临床杂志》2012年第5期157-159,共3页Practical Journal of Clinical Medicine

摘　　要：目的比较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,探讨前者的安全性和有效性。方法分析同期30例腹腔镜辅助右半结肠切除术(腔镜组)和28例传统开放右半结肠切除术(开腹组)患者的临床资料,比较两组的手术时间、术中出血量、清除淋巴结数、术后肛门排气时间、术后住院时间、术后并发症等。结果两组的手术时间、清除淋巴结数及术后并发症发生率差异无统计学意义;腔镜组出血量(47.1±45.8)ml明显少于开腹组的(90.3±50.7)ml,术后肛门排气时间(24.3±7.9)h小于开腹组的(63.2±16.1)h,术后住院时间(7.1±1.2)d短于开腹组的(12.5±2.8)d,差异均有统计学意义(P<0.05)。结论腹腔镜辅助右半结肠癌根治术安全有效,符合微创手术切口小、患者痛苦轻、康复快的优点及肿瘤根治原则。Objective To compare the clinical efficiency of laparoscopic right hemicolectomy with conventional open right hemicoleetomy. Methods The clinical records of 30 patients who underwent laparoscopic right hemicolectomy（ laparoscopy group） and 28 patients who underwent conventional open right hemieolectomy（ open group） were analyzed. The operative time, blood loss, numbers of lymph nodes harvested, time to first postoperative flatus, length of postoperative stay, and postoperative complications were compared. Results There were no significant differences in operative time, numbers of lymph nodes harvested and postoperative complications. Blood loss was significantly less in laparoscopy group than in open group（47.1±45.8 ml vs. 90.3±50.7 ml,P 〈 0.05）. The time to first postoperative flatus and length of postoperative stay in laparoscopy group were significantly shorter than those in open group, respectively（ all P 〈 0.05 ）. Conclusions Laparoscopic right hemicolectomy is a safe and effective procedure with advantage of excellent minimally invasive effect. It is also accord with principle of malignant tumor radical resection.

关 键 词：结肠切除术 腹腔镜外科手术 结肠癌 

分 类 号：R443.8[医药卫生—诊断学] R735.35[医药卫生—临床医学]