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中华普外科手术学杂志(电子版) ›› 2019, Vol. 13 ›› Issue (04) : 382 -384. doi: 10.3877/cma.j.issn.1674-3946.2019.04.019

所属专题: 文献

论著

尾侧入路与中间入路行腹腔镜下右半结肠癌根治术临床效果对比
余志清1, 杜江2,()   
  1. 1. 638500 四川省邻水人民医院普通外科
    2. 621900 四川省科学城医院胃肠外科
  • 收稿日期:2018-10-26 出版日期:2019-08-26
  • 通信作者: 杜江

Clinical comparison of laparoscopic radical resection of right colon cancer with caudal approach and intermediate approach

Zhiqing Yu1, Jiang Du2,()   

  1. 1. General surgery of the people’s Hospital of neighboring Shui county, Sichuan 638500
    2. Gastrointestinal surgery, Science City Hospital, Sichuan Province 621900
  • Received:2018-10-26 Published:2019-08-26
  • Corresponding author: Jiang Du
  • About author:
    Corresponding author: Du Jiang, Email:
  • Supported by:
    Science and technology project of Mianyang city, Sichuan province(150023700145)
引用本文:

余志清, 杜江. 尾侧入路与中间入路行腹腔镜下右半结肠癌根治术临床效果对比[J/OL]. 中华普外科手术学杂志(电子版), 2019, 13(04): 382-384.

Zhiqing Yu, Jiang Du. Clinical comparison of laparoscopic radical resection of right colon cancer with caudal approach and intermediate approach[J/OL]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2019, 13(04): 382-384.

目的

分析尾侧入路法与中央入路法在腹腔镜下右半结肠癌根治术中临床效果。

方法

回顾性分析2016年5月至2018年7月115例行腹腔镜右半结肠癌根治术患者资料,按手术入路不同分为观察组(n=57,采用尾侧入路)和对照组(n=58,采用中间入路)。数据采用SPSS 22.0统计软件分析,围术期各项指标以(±s)表示,采用独立t检验;并发症发生率采用χ2检验,以P<0.05为差异有统计学意义。

结果

观察组患者手术时间、术中出血量均少于对照组(P<0.05);两组患者淋巴结清扫数目、中转开腹率、术后恢复排气时间、排便恢复时间、拔除引流管时间、初次饮食时间、术后住院时间、术后并发症发生率差异均无统计学意义(P>0.05)。

结论

尾侧入路法在右半结肠癌根治术中具有手术时间短及术中出血量少优势,两种术式治疗右半结肠癌均安全、可靠。

Objective

To compare and analyze the clinical effect of two kind of approaches: caudal approach and central approach in laparoscopic radical resection of right colon cancer.

Methods

The data of 115 patients undergoing laparoscopic radical resection of right colon cancer from May 2016 to July 2018 were retrospectively analyzed. According to the different operative approaches, the patients were divided into two groups: the observation group(n=57 caudal approach was used) and the control group(n=58, central approach was used). The data were analyzed by SPSS 22.0 software. The measurement data of perioperative indexes were expressed as(±s), t test of independent samples was used between groups, the incidence of complications and other counting data were compared by χ2 test. P<0.05 meant the difference was statistically significant (P<0.05).

Results

The time of operation and the amount of intraoperative bleeding in the observation group were less than those in the control group (P<0.05); There was no significant difference in the number of lymph node dissection, the rate of conversion to laparotomy, the time of recovery of exhaust, the time of recovery of defecation, the time of removing drainage tube, the time of first eating, the time of hospitalization after operation, the incidence of postoperative complications (P>0.05).

Conclusion

The caudal approach has the advantages of short operative time and less blood loss during radical resection of right hemicolon cancer. Both methods are safe and reliable in the treatment of right hemicolon carcinoma.

表1 115例行右半结肠癌根治切除术患者不同入路两组一般资料比较[例,x±s]
表2 115例行右半结肠癌根治术患者不同入路两组患者术中情况比较(±s)
表3 115例行右半结肠癌根治术患者不同入路两组患者术后情况比较(±s)
表4 115例行右半结肠癌根治术患者不同入路两组术后并发症发生率比较[例(%)]
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