腹腔镜下右半结肠癌根治术“头侧-中央混合入路方式”近期疗效评价  

Short-term Efficacy of “Head-central Mixed Way” in Laparoscopic Radical Operation of Right Colon Cancer

作　　者：朱广伟[1,2] 郑炜[1,2] 黄永建[1,2] 华进 杨树钢[1,2] 庄金福 王锦洲[1,2] 黄强[1,2] 叶建新[1,2] 

机构地区：[1]福建医科大学附属第一医院胃肠外科二区,福州350005 [2]福建医科大学消化道恶性肿瘤教育部重点实验室,福州350000

出　　处：《肿瘤防治研究》2017年第12期827-830,共4页Cancer Research on Prevention and Treatment

基　　金：福建省自然科学基金(2017J01279);福建省财政厅卫生专项(BPB-yjx2016);国家临床重点专科建设项目(普通外科)

摘　　要：目的探讨腹腔镜下右半结肠癌根治术"头侧-中央混合入路方式"的可行性和近期疗效。方法回顾性分析30例行腹腔镜下右半结肠癌根治术"头侧-中央混合入路方式"患者(HCMW组)和50例行腹腔镜下右半结肠癌根治术"中央入路方式"患者(CW组)的临床资料。结果 HCMW和CW组患者淋巴结清扫数分别为(21.3±8.12)个和(18.9±11.57)个,两组淋巴结清扫数目差异无统计学意义(P>0.05);HCMW组出血量、手术时间显著少于CW组,且CW组术中输血病例更多(P<0.05);HCWM和CW组患者术后并发症发生率和死亡率差异无统计学意义(P>0.05)。结论腹腔镜下右半结肠癌根治术"头侧-中央混合入路方式"治疗右半结肠癌,安全可行,且手术方式易掌握,容易形成标准化。Objective To explore the feasibility and short-term efficacy of ＂Head-central mixed way＂ in laparoscopic radical operation of right colon cancer. Methods We retrospectively analyzed and compared the clinical data of 30 patients who carried out the laparoscopic radical operation of right colon cancer using the ＂Head-Central mixed way＂（HCMW group） and 50 patients using the ＂Central way＂ （CW group）. Results The mean number of removal lymph node was not significantly different between two groups（（21.3：L8.12） in the HCMW group vs. （18.9-4-11.57） in the CW group, P〉0.05）. As compared to CW group, the blood loss, the operative time and transfused patient number were less in the HCMW group（P〈0.05）. There was no significant difference in postoperative complication rate or mortality between HCMW group and CW group（P〉0.05）. Conclusion Laparoscopic radical resection of the right colon cancer using ＂Head-central mixed way＂ is safe and feasible. The surgical methods are easy to grasp and form a standard.

关 键 词：右半结肠癌 腹腔镜 手术入路 近期疗效 

分 类 号：R735.35[医药卫生—肿瘤]