老年右半结肠癌行腹腔镜根治术与开腹术的手术情况比较  

Comparison of laparoscopic right hemicolectomy through medial access and open surgery for colon carcinoma in elderly patients

作　　者：李云涛[1] 刘展[1] 侯康[1] 夏乡[1] 江山红[1] 何欢[1] 古建辉[1] 李世红[1] 罗丹[1] 任海亮[1] 刘雁军[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》2013年第6期184-186,共3页Practical Journal of Clinical Medicine

摘　　要：目的比较老年患者腹腔镜内侧入路和开腹行右半结肠切除术的手术情况。方法 56例结肠癌患者根据患者意愿分为腔镜组及开腹组,分别行腹腔镜内侧入路右半结肠切除术(腹腔镜组)及传统开腹右半结肠切除术(开腹组),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、住院时间、术后并发症等指标。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(P>0.05);腹腔镜组出血量、术后肛门排气时间、住院时间明显少于开腹组,差异有统计学意义(P<0.05)。结论腹腔镜内侧入路右半结肠癌根治术应用于老年结肠癌患者安全有效,符合肿瘤根治原则,手术切口小、患者痛苦轻、康复快。Objective To compare the clinical efficiency of laparoscopic right hemicolectomy through medial access with con-ventional open right hemicolectomy in elderly patients. Methods Fifty-six patients with fight colon carcinoma were allocated to lapa-roscopy group and open surgery group according to their wills. The clinical records of 28 patients who underwent laparoscopic right hemicolectomy through medial access（ laparoscopy group）and 28 patients who underwent conventional open laparoscopic right hemico-leetomy （ open surgery group） were analyzed. The operative time, blood loss, numbers of lymph nodes harvested, time of passage of flatus, time of postoperative stay, and postoperative complications were compared between the two groups. Results There were no significant differences in operative time, numbers of lymph nodes harvested and postoperative complications. Blood loss was significantly less in the laparoscopy group than that in the open surgery group（ P 〈 0. 05 ）. The postoperative time of passage of flatus and postoperative stay in the laparoscopy group were significantly shorter than that in the open surgery group （ all P 〈 0. 05 ）. Conclusion Laparoscopic right hemicolectomy through medial access in elderly patients is a safe and feasible procedure that fits for radical principle of malignant tumor. It has advantages of smaller operation incision, less pain and rapid recovery.

关 键 词：老年 结肠癌 腹腔镜 外科手术 

分 类 号：R735.35[医药卫生—肿瘤]