腹腔镜右半结肠癌根治术中间入路与混合入路的近期疗效对比  

Short-term efficacy comparison of middle approach and mixed approach in the laparoscopic radical right hemicolectomy for cancer

作　　者：雷天翔 孙开宇[1] 魏哲威[1] 王亮[1] 徐建波[1] 张信华[1] 叶致君 宋武[1] LEI Tian-xiang;SUN Kai-yu;WEI Zhe-wei(Department of Gastrointestinal Surgery,the First Affiliated Hospital of Zhongshan University,Guangzhou 510080,China)

机构地区：[1]中山大学附属第一医院胃肠外科,广东广州510080

出　　处：《腹腔镜外科杂志》2022年第1期56-59,共4页Journal of Laparoscopic Surgery

基　　金：国家自然科学基金(81871908);国家自然科学基金(82070529)。

摘　　要：目的:探讨腹腔镜中间入路与混合入路治疗右半结肠癌的近期疗效。方法:回顾分析2016年1月至2021年8月为109例患者行腹腔镜右半结肠癌根治术的临床资料,比较两组近期疗效。结果:混合入路组手术时间、术中出血量、术后首次排便时间均少于中间入路组,差异有统计学意义(P<0.05);两组术中淋巴结清扫数量、并发症发生率及其他术后恢复指标差异无统计学意义。结论:腹腔镜右半结肠癌根治术混合入路近期疗效优于中间入路,是治疗右半结肠癌较好的选择。Objective:To explore the short-term efficacy of middle and mixed approaches in the laparoscopic right hemicolectomy for cancer.Methods:A retrospective study was conducted on clinical data of 109 patients who underwent laparoscopic radical right hemicolectomy for cancer between Jan.2016 and Aug.2021,and the short-term efficacy of two approaches were compared.Results:The surgery time,intraoperative blood loss and postoperative first defecation time in the mixed approach group were less than those in the middle approach group(P<0.05).However,there was no significant difference in the number of dissected lymph nodes,the incidence of complications and other postoperative recovery indicators between the two groups.Conclusions:Compared with the middle approach,the mixed approach in the laparoscopic right hemicolectomy is better in short-term efficacy,and is a better choice of right colonic cancer.

关 键 词：结肠肿瘤 腹腔镜检查 中间入路 混合入路 疗效比较研究 

分 类 号：R735.35[医药卫生—肿瘤]