腹腔镜根治术治疗右半结肠癌的效果及安全性研究  

Study on the Effect and Safety of Laparoscopic Radical Resection in the Treatment of Cancer of the Right Colon

作　　者：李锡丁[1] 周永平[2] LI Xiding;ZHOU Yongping(Department of General Surgery,Wuxi Second People's Hospital,Wuxi,Jiangsu Province,214000 China;Department of Hepatobiliary Surgery,Wuxi Second People's Hospital,Wuxi,Jiangsu Province,214000 China)

机构地区：[1]无锡市第二人民医院普通外科,江苏无锡214000 [2]无锡市第二人民医院肝胆外科,江苏无锡214000

出　　处：《中外医疗》2021年第31期57-60,共4页China & Foreign Medical Treatment

基　　金：江苏省卫生健康委2019年度医学科研项目(H2019045)。

摘　　要：目的探讨对右半结肠癌的患者采取腹腔镜根治术的临床效果及其安全性。方法方便选择该院2015年2月—2021年2月期间接收的右半结肠癌患者94例进行研究,以数字表法随机分为治疗组和对照组。对照组47例采取常规的开腹手术进行治疗,治疗组47例采取腹腔镜根治术,对两组手术相关指标,淋巴结清扫范围及安全性进行对比。结果治疗组手术时间(190.24±20.25)min、术中出血量(55.25±9.55)mL、淋巴结清扫数量(15.57±3.34)枚与对照组对比,差异有统计学意义(t=2.099、37.220、14.226,P<0.05);治疗组术后首次下床活动时间(2.13±1.03)d、肛门排气时间(2.45±0.88)d、进食时间(2.98±0.22)d、住院时间(7.45±1.12)d均优于对照组,两组比较差异有统计学意义(t=7.765、6.016、25.028、12.655,P<0.05);治疗组术后并发症发生率为6.38%,与对照组比较,差异无统计学意义(χ^(2)=0.000,P>0.05)。结论通过对右半结肠癌的患者采取腹腔镜根治术进行治疗,其效果肯定,优于开腹手术,患者出血量少,淋巴结清扫范围大。Objective To investigate the clinical effect and safety of radical laparoscopic surgery for patients with right colon cancer.Methods 94 patients with right colon cancer received in the hospital from February 2015 to February 2021 were conveniently selected for the study,and were randomly divided into treatment group and control group by the number table method.47 cases in the control group were treated by conventional open surgery,and 47 cases in the treatment group were treated by laparoscopic radical surgery.The two groups of surgery-related indicators,lymph node dissection range and safety were compared.Results The operation time(190.24±20.25)min,intraoperative blood loss(55.25±9.55)mL,and the number of lymph node dissection(15.57±3.34)in the treatment group compared with those in the control group.The difference between the two groups was statistically significant(t=2.099,37.220,14.226,P<0.05).The treatment group's first time to get out of bed(2.13±1.03)d,anal exhaust time(2.45±0.88)d,eating time(2.98±0.22)d,and hospitalization time(7.45±1.12)d were better than those of the control group,the difference between the two groups was statistically significant(t=7.765,6.016,25.028,12.655,P<0.05).The postoperative complication rate in the treatment group was 6.38%compared with the control group,the difference was not statistically significant(χ^(2)=0.000,P>0.05).Conclusion Radical laparoscopic surgery for patients with right colon cancer has a definite effect,which is better than open surgery.The patient has less bleeding,a large area of lymph node dissection.

关 键 词：右半结肠癌 开腹手术 腹腔镜根治术 手术情况 术后恢复 临床效果 安全性 

分 类 号：R735[医药卫生—肿瘤]