单孔腹腔镜右半结肠癌根治术在治疗中的疗效评价  

Evaluation of Curative Effect of Single-Port Laparoscopic Radical Resection of Right Colon Cancer in Treatment

作　　者：周放 郭健[1] 杨舒婷 石志良[1] 俞铖[1] 邵佳哲 何宋兵[3] 周国强[1] ZHOU Fang;GUO Jian;YANG Shu-ting;SHI Zhi-liang;YU Cheng;SHAO Jia-zhe;HE Song-bing;ZHOU Guo-qiang(Department of Gastrointestinal Surgery,Changshu Second People's Hospital,Changshu,Jiangsu,215500,China;Gusu School,Nanjing Medical University,Suzhou,Jiangsu,215002,China;Department of GeneralSurgery,the First Affiliated Hospital of Soochow University,Suzhou,Jiangsu,215006,China)

机构地区：[1]江苏省常熟市第二人民医院胃肠外科,江苏常熟215500 [2]南京医科大学姑苏学院,江苏苏州215002 [3]苏州大学附属第一医院,江苏苏州215006

出　　处：《中国血液流变学杂志》2022年第2期281-284,共4页Chinese Journal of Hemorheology

基　　金：常熟市第二人民医院院级科技计划项目(CSEY2021004)。

摘　　要：目的探讨单孔腹腔镜和传统五孔法腹腔镜治疗右半结肠癌的手术疗效评价。方法选择2017年12月—2020年8月在常熟市第二人民医院接受单孔腹腔镜右半结肠癌根治术的8例患者作为观察组,同期接受传统五孔法腹腔镜右半结肠癌根治术的30例患者作为对照组。比较两组患者术前及术后一般资料、手术相关临床指标及手术相关并发症发生情况。结果观察组手术切口长度、术后1周PNI优于对照组,差异具有统计学意义(P<0.05)。观察组的手术时间较对照组长,差异具有统计学意义(P<0.05)。两组术中出血量、术后饮水时间、流质饮食时间、半流质饮食时间、术后拔管时间、术后住院时间、肿瘤直径、淋巴结清扫数目、术后BMI、术后并发症差异均无统计学意义(P>0.05)。结论单孔腹腔镜右半结肠癌根治术与传统腹腔镜手术相比具有相同的治疗效果及安全性,且患者手术切口较小、术后短期营养状况更佳。Objective To discuss the evaluation of the surgical curative effect of single-incision laparoscopic surgery and traditional laparoscopy in the treatment of right colon cancer.Methods 8 patients who underwent single-port laparoscopic radical resection of right colon cancer at Changshu Second People's Hospital from December 2017 to August 2020 were selected as the observation group,and 30 patients undergoing traditional five-port laparoscopic right colon cancer as a control group.The preoperative and postoperative general data,surgery-related clinical indicators and the occurrence of surgery-related complications were compared between the two groups.Results The length of the surgical incision in the observation group and the PNI one week after the operation were better than those in the control group,the differences were statistically significant(P<0.05).The operation time of the observation group was longer than that of the control group,and the difference was statistically significant(P<0.05).There was no statistical difference between the two groups in intraoperative blood loss,postoperative drinking time,liquid diet time,semi-liquid diet time,postoperative extubation time,postoperative hospital stay,tumor diameter,number of lymph node dissections,postoperative BMI,and postoperative complications(P>0.05).Conclusion Compared with traditional laparoscopic surgery,single-port laparoscopic radical resection of right colon cancer has the same therapeutic effect and safety,and the patients have smaller surgical incisions and better short-term nutritional status after surgery.

关 键 词：右半结肠癌 单孔腹腔镜 疗效 预后 

分 类 号：R735.35[医药卫生—肿瘤] R730.56[医药卫生—临床医学]