尾侧入路联合中间入路在腹腔镜右半结肠癌根治术患者中的应用效果  

Application effect of caudal approach combined with intermediate approach in patients with right colon cancer undergoing laparoscopic radical resection

作　　者：胡黎明[1] 韩建成[1] 晁宏伟[1] 赵战强 HU Liming;HAN Jiancheng;CHAO Hongwei;ZHAO Zhanqiang(Department of Gastrointestinal Surgery,Puyang People'sHospital,Puyang 457000,He'nan,China)

机构地区：[1]濮阳市人民医院胃肠外科,河南濮阳457000

出　　处：《癌症进展》2024年第21期2400-2403,共4页Oncology Progress

基　　金：河南省医学科技攻关计划联合共建项目(LHGJ20200913)。

摘　　要：目的 探讨尾侧入路联合中间入路在腹腔镜右半结肠癌根治术患者中的应用效果。方法 采用随机数字表法将80例右半结肠癌患者分为对照组和研究组,每组40例,对照组患者采用中间入路腹腔镜右半结肠癌根治术,研究组患者采用尾侧入路联合中间入路腹腔镜右半结肠癌根治术。比较两组患者的手术相关指标、术后恢复指标和并发症发生情况。结果 研究组患者手术时间明显短于对照组,术中出血量明显少于对照组,差异均有统计学意义(P﹤0.01);两组患者淋巴结清扫数目比较,差异无统计学意义(P﹥0.05)。研究组患者术后拔管时间、首次排气时间、首次流质食物进食时间、住院时间均明显短于对照组,差异均有统计学意义(P﹤0.01)。研究组患者的并发症总发生率为7.50%,与对照组患者的12.50%比较,差异无统计学意义(P﹥0.05)。结论 腹腔镜右半结肠癌根治术中选取尾侧入路联合中间入路,能够优化手术相关指标,促进术后恢复,且不增加并发症发生风险。Objective To investigate the application effect of caudal approach combined with intermediate approach in patients with right colon cancer undergoing laparoscopic radical resection.Method A total of 80 patients with right colon cancer who underwent laparoscopic radical resection were divided into control group and study group using random number table method,with 40 cases in each group.The control group underwent laparoscopic right hemicolectomy via intermediate approach,while the study group underwent laparoscopic right hemicolectomy via caudal approach combined with intermediate approach.The surgical related indicators,postoperative recovery indicators,and incidence of complications were compared between the two groups.Result The surgery time in study group was significantly shorter than that in control group,and the intraoperative blood loss was significantly less than that in control group,the differences were statistically significant(P<0.01).There was no statistically significant difference in the number of lymph node dissections between the two groups(P>0.05).The postoperative extubation time,first exhaust time,first liquid food intake time,and hospitalization time in study group were significantly shorter than those in control group,and the differences were statistically significant(P<0.01).The total effective rate of complications in study group was 7.50%,which was not significantly different from 12.50%in control group(P>0.05).Conclusion In laparoscopic right hemicolectomy,selecting caudal approach combined with intermediate approach can optimize surgical related indicators,promote postoperative recovery,and not increase the risk of complications.

关 键 词：右半结肠癌 尾侧入路 中间入路 手术相关指标 并发症 

分 类 号：R735.35[医药卫生—肿瘤]