中间入路法腹腔镜辅助结肠癌根治术的临床分析  

Clinical analysis of laparoscopic medial approach in radical resection for colon cancer

作　　者：曹双军[1] 于海洋[1] 石庆龙[1] 王红禄[1] 任正华[1] 赵雪松[1] 

机构地区：[1]首都医科大学良乡教学医院普外一科,北京102401

出　　处：《癌症进展》2015年第1期79-82,共4页Oncology Progress

摘　　要：目的探讨腹腔镜辅助结肠癌根治术采用中间入路法治疗结肠癌的方法及效果。方法选取50例结肠癌患者进行随机分组,其中研究组25例采用中间入路法进行腹腔镜辅助下结肠癌根治手术,对照组25例采用常规开腹手术。结果研究组患者术中出血量(93.2±28.2)ml,明显低于对照组(128.3±32.8)ml;研究组患者手术时间(132.8±32.8)min,明显少于对照组(167.9±38.2)min,差异均具有统计学意义(均P<0.01)。研究组淋巴结清扫(16.2±5.3)枚,标本切除长度(24.3±7.2)cm,对照组患者淋巴结清扫(15.4±3.2)枚,标本切除长度(22.8±7.6)cm,两组数据差异无统计学意义(均P>0.05)。研究组患者术后排气时间、饮食恢复时间和住院时间分别为(2.2±0.3)天、(3.0±0.5)天和(9.8±2.2)天,均少于对照组的(4.2±0.6)天、(5.3±0.4)天和(15.5±3.6)天,差异均有统计学意义(均P<0.01)。研究组患者并发症发生率为12%,明显高于对照组的36%,差异有统计学意义(P<0.05)。结论腹腔镜辅助下进行结肠癌根治手术可大大提高手术的效率,提高治疗安全性,促进患者早期康复,并可减轻痛苦,提高生存质量。Objective To investigate the modality and effect of laparoscopic medial approach in radical resection for colon cancer. Method 50 patients with colon cancer were randomized. Twenty-five cases in the study group were administered with radical resection for colon cancer by laparoscopic medial approach, and another 25 cases in the control group received open surgery. Result The intraoperative blood loss in study group [（93.2±28.2） ml] was obviously lower than that of control group [（128.3±32.8） ml]; And less operative time [（132.8±32.8） min] was taken for study group compared with control group [（167.9±38.2） min], of which the differences were significant （all P〈0.01）. In respect of lymph node dissection, there were （16.2±5.3） vs （15.4±3.2） nodes dissected, and （24.3±7.2） cm vs （22.8±7.6） cm of specimens resected for study group vs control group. No significant difference was observed for pa-tient characteristics （P〉0.05）. The postoperative exhaust time, eating recovery time and hospital stay [（2.2±0.3） d, （3± 0.5） d, and （9.8±2.2） d, respectively] were all significantly less than those of the control group [（4.2±0.6） d, （5.3±0.4） d, （15.5±3.6） d, respectively] （all P〈0.01）. And less complications were observed in study group compared with con-trol group （12% vs 36%, P〈0.05）. Conclusion Laparoscopic medial approach in radical resection for colon cancer not only greatly improves operative efficiency, but also guarantees safety of treatment, and it promotes early recovery for patients, as well as improves the quality of life.

关 键 词：中间入路法 腹腔镜 结肠癌根治术 临床疗效 

分 类 号：R735.3[医药卫生—肿瘤]