小切口与腹腔镜右半结肠癌切除术的临床疗效分析  

The Clinical Efficacy Analysis of Minilaparotomic and Laparoscopic Right Hemicolectomy

作　　者：王荣[1] 徐勇[2] 

机构地区：[1]中铁一局集团中心医院普外科,陕西渭南714100 [2]西安高新医院普外科,西安710075

出　　处：《中华普外科手术学杂志（电子版）》2017年第4期332-334,共3页Chinese Journal of Operative Procedures of General Surgery(Electronic Edition)

摘　　要：目的对比分析小切口和腹腔镜辅助右半结肠切除术治疗结肠癌的临床疗效及安全性。方法回顾性分析2013年1月至2017年2月247例结肠癌患者资料,根据手术方式分为小切口组(小切口右半结肠切除术,123例)和腹腔镜组(腹腔镜辅助右半结肠切除术,124例)。采用SPSS17.0统计学软件进行统计分析,术后并发症发生率、远处转移率及局部复发率组间比较采用χ2检验;术中术后各种指标采用均数±标准差(x珋±s)表示,组间比较采用独立样本t检验,以P<0.05表示差异有统计学意义。结果两组患者均顺利完成手术,相比腹腔镜组患者,小切口组患者的手术时间明显减少[(193.6±44.3)比(130.5±51.2)min],住院费用明显降低[(402529±13658.5)比(35275.6±8446.3)元],差异有统计学意义(P<0.05)。两组术中出血量、术后肛门排气时间、淋巴结清扫数目、平均住院时间、术后并发症发生率、术后总存活率、远处转移率及局部复发率相比,差异均无统计学意义(P>0.05)。结论小切口右半结肠切除术和腹腔镜辅助右半结肠切除术在结肠癌的手术疗效及安全性上没有明显差异,但具有手术创口小、手术时间短、住院费用低的优点,值得临床推广应用。Objective To investigate the clinical efficacy and safety of small incision and laparoscopic assisted right colon resection in the treatment of colorectal cancer. Methods Retrospective analysis the clinical data of colorectal cancer from January 2013 to February 2017,according to the method of operation randomly divided into minilaparotomic group（minilaparotomic right hemectomy,123 cases） and laparoscopic group（laparoscopic assisted right hemicolectomy,124 cases）. Statistical analysis were performed by using SPSS 17. 0 software,the incidence of complication after operation,distant metastasis rate and local recurrence rate were examined by chi square test,intraoperative and postoperative measurement data were presented as and examined by using t test; A P value of 0. 05 was considered as significant difference. Results The operation all succees of the two groups,compared with the laparoscopic group,the operation time of the minilaparotomic group was significantly decreased [（193. 6 ± 44. 3） vs.（130. 5 ±51. 2） min],hospital costs significantly reduced[（402529 ± 13658. 5） vs.（35275. 6 ± 8446. 3） yuan],the difference was statistically significant（P〈0. 05）. The intraoperative blood loss,postoperative anal exhaust time,lymph node dissection and mean hospitalization time,the incidence of complication after operation,postoperative survival,distant metastasis rate and local recurrence rate of the two groups,has no significant differences between the two groups（P〉0. 05）. Conclusions There is no significant difference in the curative effect and safety of minilaparotomic right hemectomy and laparoscopic assisted right colon resection in colorectal cancer. However,the former has the advantages of small surgical wounds,short operative time and low cost of hospitalization. it is worthy of clinical promotion.

关 键 词：结肠肿瘤 腹腔镜检查 结肠切除术 

分 类 号：R735.35[医药卫生—肿瘤]