腹腔镜完整结肠系膜切除术与传统结肠癌根治术的淋巴结清扫和短期疗效比较  

Comparison of lymph node dissection and short-term efficacy between laparoscopic complete mesocolic excision and laparoscopic traditional radical resection for colon cancer

作　　者：刘书强[1] 赵象文[1] 梁志宏[1] 华伟[1] 韩月锋[1] 

机构地区：[1]南方医科大学附属小榄医院普外科,广东中山528415

出　　处：《中国内镜杂志》2015年第8期794-797,共4页China Journal of Endoscopy

基　　金：中山市科技计划项目(No:2014A1FC126)

摘　　要：目的比较腹腔镜完整结肠系膜切除术与腹腔镜传统结肠癌根治术治疗结肠癌的淋巴结清扫效果和短期疗效。方法回顾性分析2010年6月-2014年6月在该院行腹腔镜结肠癌根治术的70例结肠癌患者的临床资料,其中行腹腔镜传统结肠癌根治术(对照组)32例,行腹腔镜完整结肠系膜切除术(CME组)38例,比较两组患者的淋巴结清扫效果和短期疗效。结果腹腔镜完整结肠系膜切除术(CME)组淋巴结清扫数为(21.7±2.5)枚,对照组为(15.8±2.1)枚,腹腔镜完整结肠系膜切除术(CME)组明显多于对照组(P<0.05);两组手术时间、术中出血量、术后排气时间、术后开始进食时间、术后住院时间、住院费用及术后并发症发生率相比较,差异无统计学意义(P>0.05)。结论腹腔镜完整结肠系膜切除术增加淋巴结清扫的数量,不增加手术风险和并发症发生率,术后短期疗效良好。[Objective] To compare the lymph node dissection and short-term efficacy between laparoscopic complete mesocolic excision and laparoseopie traditional radical resection for colon cancer. [Methods] From June 2010 to June 2014, 70 patients who underwent laparoscopic radical resection for colon cancer were included in the study, 38 patients underwent laparoscopic complete mesocolic excision, the other 32 patients underwent laparoscopic traditional radical resection. Lymph node dissection and short-term efficacy were compared between the two groups. [ Results ] Lymph nodes retrieved in the laparoscopic complete mesocolic excision group （21.7±2.5） was significantly more than that in the control group （15.8±2.1） （P 〈 0.05）. There were no differences in operation time, intraoperative blood loss, first flatus time, postoperative fasting time, hospital stay, hospitalization costs, and postoperative compli- cations between the two groups （P 〉 0.05）. [Conclusion] The number of lymph node dissection is increased, the surgical risk and postoperative complications are not increased, and the short-term efficacy is good using laparo- scopic complete mesocolie excision in colon cancer.

关 键 词：结肠肿瘤 腹腔镜 完整结肠系膜切除术 淋巴结清扫 

分 类 号：R735.35[医药卫生—肿瘤]