腹腔镜下右半结肠癌根治术中头侧-中央混合入路的可行性分析  

Feasibility Analysis of Cranial-Medial Mixed Dominant Approach in Laparoscopic Radical Resection of Right-Sided Colon Cancer

作　　者：王培民[1] 张斌[1] 曾庆午 WANG Peimin;ZHANG Bin;ZENG Qingwu(General Surgery Department,the First People’s Hospital of Xinxiang,Xinxiang 453000,China)

机构地区：[1]新乡市第一人民医院普外科,河南新乡453000

出　　处：《河南医学研究》2024年第19期3510-3513,共4页Henan Medical Research

摘　　要：目的分析腹腔镜下右半结肠癌根治术中应用头侧-中央混合入路的可行性。方法选取新乡市第一人民医院于2019年2月至2023年1月择期接受腹腔镜下右半结肠癌根治术的患者180例,按照入路方式分为中央入路组(CW组)及头侧-中央混合入路组(HCMW组),其中CW组85例,HCMW组95例。对比两组术中情况、术后情况、根治术完成质量、并发症发生情况。结果两组中转开腹率差异无统计学意义(P>0.05),HCMW组手术时间短于CW组,术时出血量少于CW组,输血率低于CW组(P<0.05)。两组术后情况、根治术质量、手术安全性差异无统计学意义(P>0.05)。结论腹腔镜下右半结肠癌根治术中应用头侧-中央混合入路具有可行性,在保证手术效果的基础上不增加并发症风险,并且能缩短手术时间,减少术时出血量。Objective To analyze the feasibility of cranial-medial mixed dominant approach in laparoscopic radical resection of right-sided colon cancer.Methods A total of 180 patients who underwent laparoscopic radical resection of right-sided colon cancer in the First People’s Hospital of Xinxiang from February 2019 to January 2023 were selected.They were divided into medial approach group(CW group,85 cases)and cranial-medial mixed dominant approach group(HCMW group,95 cases)according the approach method.Intraoperative and postoperative conditions,quality of radical resection,and the incidence of complications were compared between the two groups.Results There was no statistically difference in the rate of conversion to open surgery between the two groups(P>0.05).The HCMW group had a shorter surgical time,less intraoperative bleeding,and a lower blood transfusion rate than the CW group(P<0.05).There were no statistically differences in postoperative conditions,quality of radical surgery,and surgical safety between the two groups(P>0.05).Conclusion Applying cranial-medial mixed dominant approach in laparoscopic radical resection of right-sided colon cancer will not increase the risk of complications while ensuring surgical effectiveness,and can significantly shorten operation time and reduce intraoperative blood loss.

关 键 词：腹腔镜 右半结肠癌根治术 头侧-中央混合入路 中央入路 

分 类 号：R61[医药卫生—外科学]