摘要
目的比较完整结肠系膜切除术(CME)与传统结肠癌根治手术治疗结肠癌的临床疗效。方法 2011年1月至2012年12月期间我院收治并接受手术的结肠癌患者共38例。对照组(n=23)患者接受传统的结肠癌根治性手术,CME组(n=15)患者由同一组手术医师按照CME原则进行手术。比较两组患者手术相关指标(手术时间、术中出血量)和术后恢复情况(术后排气时间、住院时间)术后并发症发生情况、淋巴清扫。结果两组患者手术时间无显著性差异;CME组患者术中出血量较对照组少(P<0.05);两组患者术后排气时间、住院时间、并发症发生例数也无显著性差异;CME组患者术中清扫淋巴结数量、阳性淋巴结转移数均多于对照组患者(P<0.05)。对照组患者术后1年结肠癌复发转移病例比观察组多,但两组间差异无统计学意义(P>0.05)。结论 CME手术能够清扫尽可能多的淋巴结,有利于降低结肠癌的复发率且不增加手术并发症。
Objective To compare the clinical effect of complete mesocolic excision（CME）and radical colonectomy for colon cancer. Methods Thirty-eight patient underwent radical surgery.Between January 2011 and December 2012 were included in this study. According to the surgical procedure, 23 cases received traditionally radical colectomy（control group, n =23） and 15 cases underwent CME surgery（CME group, n =15）. The clinical postoperative indicators, complications,count of dissected lymph node and the recurrence in 1-year-followed-up were compared between the two groups. Results The intraoperative blood loss in CME group was decreased significantly and harvested more lymph nodes when compared with control group（P〈 0.05）, but there were not statistical differences between the two groups in operation time, postoperative exhaust time, hospital stay and complications. Conclusion CME could reduce the surgical blood loss and dissect much more lymph nodes, and may reduce the recurrence of colon cancer.
出处
《岭南现代临床外科》
2015年第1期46-49,共4页
Lingnan Modern Clinics in Surgery
作者简介
通讯作者：陈雁平，Email：13929311144@163．com
