比较头侧－中央联合入路与单纯头侧入路治疗右半结肠癌的临床疗效。

回顾性分析2013年1月至2018年12月96例右半结肠癌患者，按照手术入路不同分为两组，52例患者行头侧－中央联合入路手术方式(联合组)，44例患者行单纯头侧入路手术方式(单纯组)。数据处理应用统计学软件SPSS22.0完成。两组术中术后各相关指标用(±s)表示，采用独立t检验；并发症发生率比较采用χ²检验；P<0.05为差异有统计学意义。

联合组手术时间及术中出血量均低于单纯组(均P<0.05)，两组切除标本长度、清除淋巴结数目的差异均无统计学意义(均P>0.05)。联合组术后并发症发生率为7.7%，单纯组为13.6%，两组差异无统计学意义(χ²＝0.9023, P>0.05)。联合组组患者术后体温恢复时间、术后排气时间及住院时间均明显短于单纯组(均P<0.05)。

头侧－中央联合入路治疗右半结肠癌可缩短手术时间、降低术中出血量，并未增加并发症发生率，安全可行，有利于患者术后的恢复，效果优于单纯头侧入路，值得推广应用。

To compare the clinical outcome of patients who underwent surgical treatment of right colon cancer by using lateral approach or combined lateral-central approach.

From January 2013 to December 2018, clinical data of 96 patients with right colon cancer were analyzed retrospectively, who were divided into combined lateral-central approach group (52 cases) and lateral approach group (44 cases). Data analysis was performed using statistical software SPSS22.0. Measurement data such as perioperative relevant indicators were expressed as (±s) and were examined by independent t test. The incidence of complications were examined by chi square test. A P value of <0.05 was considered as statistically significant.

The operation time and intraoperative blood loss in combined lateral-central approach group were lower than those in lateral approach group (P<0.05). There were no significant difference in terms of the length of the resected specimens and the number of harvested lymph nodes between two groups (all P>0.05). The incidence of postoperative complications was 7.7% in the combined lateral-central approach group and 13.6% in the lateral approach group, with no significant difference between two groups (χ² =0.9023, P>0.05). The postoperative temperature recovery time, postoperative exhaust time and hospitalization time of the patients in the combined lateral-central approach group were significantly shorter than those in the lateral approach group respectively (all P<0.05).

The combined lateral-central approach for the surgical treatment of right colon cancer could significantly shorten the operation time and reduce the intraoperative blood loss, without increased of complications. It is safe and feasible, and is beneficial to the recovery of patients. The combined lateral-central approach is worthy of clinical promotion.