分析腹腔镜右半结肠切除术在结肠癌治疗中的安全性和有效性  

Analysis of the safety and effectiveness of laparoscopic right hemicolectomy in the treatment of colon cancer

作　　者：宋伟林 舒丽娜 韩宏景 SONG Wei-lin;SHU Li-na;HAN Hong-jing(Jingdezhen Second People's Hospital,Jingdezhen 333099,China)

机构地区：[1]景德镇市第二人民医院普外二科,333099 [2]景德镇市第五人民医院呼吸一科,333032

出　　处：《中国实用医药》2023年第22期49-52,共4页China Practical Medicine

基　　金：景德镇市科技计划项目(项目编号:20211SFZC035)。

摘　　要：目的分析结肠癌患者采用腹腔镜右半结肠切除术治疗的有效性及安全性。方法60例接受手术治疗的结肠癌患者,按照所用术式差异分为对照组和观察组,每组30例。对照组采用开腹手术,观察组采用腹腔镜右半结肠切除术。比较两组手术相关指标、术后并发症发生情况及肿瘤局部复发与远处转移情况。结果观察组手术持续时间(198.76±24.59)min长于对照组的(145.23±27.45)min,切口长度(5.42±1.07)cm、术后排气时间(25.01±7.89)h和住院时间(6.44±1.09)d短于对照组的(19.24±2.64)cm、(62.12±12.24)h、(10.07±2.11)d,术中出血量(55.01±15.27)ml少于对照组的(137.56±34.54)ml,差异有统计学意义(P<0.05)。观察组术后并发症发生率6.67%明显低于对照组的30.00%,差异有统计学意义(P<0.05)。术后2年,两组患者局部复发率与远处转移率比较差异无统计学意义(P>0.05)。结论结肠癌患者采用腹腔镜右半结肠切除术能够优化手术指标,缩短术后康复时间,而且术后并发症发生率、远期局部复发率以及转移率均较低,手术治疗的有效性与安全性均能够获得保证,应用价值高于开腹手术。Objective To analyze the effectiveness and safety of laparoscopic right hemicolectomy in the treatment of colon cancer.Methods A total of 60 patients with colon cancer who underwent surgical treatment were divided into the control group and the observation group according to the difference of surgical methods,with 30 cases in each group.The control group underwent open surgery,and the observation group underwent laparoscopic right hemicolectomy.The operative indexes,postoperative complications,local tumor recurrence,and distant metastasis were compared between the two groups.Results The operative duration of(198.76±24.59)min in the observation group was longer than that of(145.23±27.45)min in the control group;the observation group had incision length of(5.42±1.07)cm,postoperative exhaust time of(25.01±7.89)h and hospital stay of(6.44±1.09)d,which were shorter than those of(19.24±2.64)cm,(62.12±12.24)h and(10.07±2.11)d in the control group;the intraoperative blood loss of(55.01±15.27)ml in the observation group was less than that of(137.56±34.54)ml in the control group;the differences were statistically significant(P<0.05).The incidence of postoperative complications in the observation group was 6.67%,which was significantly lower than that of 30.00%in the control group,and the difference was statistically significant(P<0.05).At 2 years after surgery,there was no statistically significant difference in rate of local tumor recurrence and distant metastasis rate between the two groups(P>0.05).Conclusion Laparoscopic right hemicolectomy for colon cancer patients can optimize surgical indicators and shorten postoperative rehabilitation time,and the incidence of postoperative complications,longterm local recurrence rate and metastasis rate are lower,so the effectiveness and safety of surgical treatment can be guaranteed,and the application value is higher than that of open surgery.

关 键 词：结肠癌 腹腔镜右半结肠切除术 开腹手术 手术指标 肿瘤局部复发 远处转移 

分 类 号：R735.35[医药卫生—肿瘤]