完全腹腔镜与腹腔镜辅助右半结肠切除术治疗结肠癌的临床疗效对比  

Totally Laparoscopic Versus Laparoscopic-assisted Right Hemicolectomy for Colon Carcinoma:a Comparative Study of Curative Effects

作　　者：高明[1] 王存川[1] 杨景哥[1] 龚瑾[1] 唐家慧 

机构地区：[1]暨南大学附属第一医院普通外科,广州510630

出　　处：《中国微创外科杂志》2015年第4期314-317,共4页Chinese Journal of Minimally Invasive Surgery

基　　金：广东省科技计划项目(20100309)

摘　　要：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-rankχ2=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。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.

关 键 词：腹腔镜 右半结肠切除术 结肠肿瘤 

分 类 号：R735.35[医药卫生—肿瘤]