摘要
目的观察尾内侧入路腹腔镜手术治疗右半结肠癌的效果。方法抽取2017年1月至2019年1月南阳市第二人民医院收治的68例确诊为右半结肠癌并接受腹腔镜根治术的患者,按照随机数字表分为对照组与观察组,每组34例,对照组患者选择中央入路手术方式治疗,观察组则行尾内侧入路手术方式治疗;所有患者术后均接受随访(随访截点由出院当天开始至患者疾病进展或死亡即随访终止),比较两组患者手术及恢复相关指标、根治性指标(淋巴结清扫数目、标本长度);记录并比较两组术后并发症发生情况;记录两组患者随访结果。结果 68例右半结肠癌患者均获得随访结果,随访率为100%,时间为6~16个月。观察组手术用时、拔管时间、恢复排气时间及住院时间均短于对照组,术中出血量少于对照组(P<0.05);两组标本长度、淋巴清扫数目、并发症发生率、总生存率及总生存时间比较,差异未见统计学意义(P>0.05);观察组无瘤生存率为85.29%,高于对照组的64.71%,差异有统计学意义(P<0.05)。结论右半结肠癌患者经尾内侧入路腹腔镜根治术治疗,较中央入路更利于缩短手术时间、减少术中出血量,患者术后机体功能更好更快恢复,无瘤生存率大大提高,应用价值高。
Objective To observe the effect of laparoscopic surgery via the caudal medial approach on patients with right colon cancer.Methods A total of 68 patients with right colon cancer diagnosed and undergoing laparoscopic radical surgery in the Nanyang Second People’s Hospital from January 2017 to January 2019 were selected,the patients were divided into control group and observation group according to the random table,34 cases in each group.Patients in the control group were treated with a central approach,and the observation group was treated with a caudal medial approach;all patients were followed up after surgery(the length of follow-up was from the day of discharge to the patients’disease progresses or until their death).The operation and recovery related indexes and radical indexes(number of lymph node dissection,specimen length)of the two groups of patients were compared;the postoperative complications of the two groups were recorded and compared;the follow-up results of the two groups of patients were recorded.Results All 68 patients with right colon cancer got follow-up results,the follow-up rate was 100%and the time was 6-16 months.The operation time,extubation time,recovery time and hospitalization time of the observation group were shorter than those of the control group,and the intraoperative blood loss was less than that of the control group(P<0.05);the length of specimens,the number of lymphatic dissections,the incidence of complications,the total survival rate and total survival time of the two groups were compared,there were no significant differences(P>0.05);the tumor free survival rate of the observation group was 85.29%,which was higher than that of the control group(64.71%),the difference was statistically significant(P<0.05).Conclusions Laparoscopic radical resection of caudal medial approach for patients with right colon cancer is more conducive to shortening the operation time and reducing the amount of intraoperative bleeding than the central approach.The patient’s body function recoveres faster and better after surgery,and the tumor-free survival rate is greatly improved,it has high application value.
作者
刘长生
Liu Changsheng(Department of General Surgery,Nanyang Second People’s Hospital,Nanyang 473000,China)
出处
《中国实用医刊》
2020年第18期62-66,共5页
Chinese Journal of Practical Medicine
关键词
右半结肠癌
尾内侧入路
腹腔镜
右半结肠癌根治术
Right colon cancer
Caudal medial approach
Laparoscopy
Radical resection of right colon cancer
作者简介
通信作者:刘长生,Email:liuchuanwen200799@126.com。
