3D腹腔镜根治术治疗右半结肠癌的效果及安全性分析  

Analysis of efficacy and safety of 3D laparoscopic radical resection for right-sided colon cancer

作　　者：李湘林 陆小娟[2] 赵志强[1] LI Xiang-lin;LU Xiao-juan;ZHAO Zhi-qiang(Gastrointestinal Surgery Department,Qijiang District People’s Hospital,Chongqing 401420,China)

机构地区：[1]重庆市綦江区人民医院胃肠外科,401420 [2]重庆市綦江区人民医院麻醉科,401420

出　　处：《中国实用医药》2021年第11期61-63,共3页China Practical Medicine

摘　　要：目的分析3D腹腔镜根治术治疗右半结肠癌的效果以及安全性。方法 74例右半结肠癌患者,依据手术方案不同分为观察组和对照组,各37例。观察组患者行3D腹腔镜根治术治疗,对照组患者行2D腹腔镜根治术治疗。对比两组围术期指标、手术前后炎症反应指标及术后并发症发生情况。结果两组术中淋巴结清扫数量及住院花费对比差异无统计学意义(P>0.05);观察组手术时间(125.26±21.35)min、住院时间(9.41±1.16)d均短于对照组的(148.65±30.26)min、(11.26±2.59)d,失血量(75.26±11.15)ml少于对照组的(106.59±21.35)ml,差异有统计学意义(P<0.05)。观察组术后并发症发生率为5.41%,低于对照组的21.62%,差异有统计学意义(P<0.05)。术前,两组C反应蛋白(CRP)、白细胞(WBC)水平对比差异无统计学意义(P>0.05);术后72 h,观察组CRP、WBC水平均低于对照组,差异有统计学意义(P<0.05)。结论对右半结肠癌患者实施3D腹腔镜根治术可获得满意疗效,有利于降低手术创伤并可有效预防术后并发症。Objective To analyze the effect and safety of 3D laparoscopic radical resection for rightsided colon cancer.Methods A total of 74 patients with right-sided colon cancer were divided into observation group and control group according to different surgical regimens,with 37 cases in each group.The observation group was treated with 3D laparoscopic radical resection,and the control group was treated with 2D laparoscopic radical resection.The perioperative indicators,inflammatory indicators before and after operation,and occurrence of postoperative complications were compared between the two groups.Results There was no statistically significant difference in number of lymph node dissections and hospitalization costs between the two groups(P>0.05).The operation time(125.26±21.35)min and hospitalization time(9.41±1.16)d of the observation group were shorter than(148.65±30.26)min and(11.26±2.59)d of the control group,and blood loss(75.26±11.15)ml was less than(106.59±21.35)ml of the control group.All the difference was statistically significant(P<0.05).The incidence of postoperative complications of the observation group was 5.41%,which was lower than 21.62%of the control group,and the difference was statistically significant(P<0.05).Before operation,there was no statistically significant difference in C-reactive protein(CRP)and white blood cells(WBC)levels between the two groups(P>0.05).72 h after operation,the CRP and WBC levels of the observation group were lower than those of the control group,and the difference was statistically significant(P<0.05).Conclusion 3D laparoscopic radical resection shows satisfactory efficacy on patients with right-sided colon cancer,and it helps reduce surgical trauma and effectively prevent postoperative complications.

关 键 词：右半结肠癌 3D腹腔镜根治术 2D腹腔镜根治术 安全性 

分 类 号：R735.35[医药卫生—肿瘤]