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中华普外科手术学杂志(电子版) ›› 2022, Vol. 16 ›› Issue (05) : 499 -501. doi: 10.3877/cma.j.issn.1674-3946.2022.05.009

论著

右半结肠D3淋巴结清扫术对腹腔镜右半结肠癌根治术患者疗效分析
王凌风1, 林圣涛1, 杨常顺1, 蔡少鑫1, 叶峰2, 李伟华1,()   
  1. 1. 350001 福州,福建医科大学省立临床医学院;350001 福州,福建省立医院肿瘤外科
    2. 361001 福建厦门,厦门市第一人民医院普外科
  • 收稿日期:2021-04-16 出版日期:2022-10-26
  • 通信作者: 李伟华

Analysis on efficacy of D3 lymph node dissection of right colon on patients undergoing laparoscopic radical resection of right colon cancer

Lingfeng Wang1, Shengtao Lin1, Changshun Yang1, Shaoxin Cai1, Feng Ye2, Weihua Li1,()   

  1. 1. Clinical Medical College of Fujian Medical University, Fuzhou Fujian Province 350001, China; Department of Oncology, Fujian Provincial Hospital, Fuzhou Fujian Province 350001, China
    2. Department of General Surgery, Xiamen First People’s Hospital, Xiamen Fujian Province 361001, China
  • Received:2021-04-16 Published:2022-10-26
  • Corresponding author: Weihua Li
  • Supported by:
    2020 Natural Science Foundation of Fujian Province(2020J011238)
引用本文:

王凌风, 林圣涛, 杨常顺, 蔡少鑫, 叶峰, 李伟华. 右半结肠D3淋巴结清扫术对腹腔镜右半结肠癌根治术患者疗效分析[J/OL]. 中华普外科手术学杂志(电子版), 2022, 16(05): 499-501.

Lingfeng Wang, Shengtao Lin, Changshun Yang, Shaoxin Cai, Feng Ye, Weihua Li. Analysis on efficacy of D3 lymph node dissection of right colon on patients undergoing laparoscopic radical resection of right colon cancer[J/OL]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2022, 16(05): 499-501.

目的

观察右半结肠D3淋巴结清扫术对腹腔镜右半结肠癌根治术患者疗效。

方法

选取2019年10月至2021年1月收治的199例右半结肠癌患者进行研究,采用随机数表法将患者分为D3组(n=100例)和D2组(n=99例),两组患者均接受腹腔镜右半结肠癌根治术,D3组行D3淋巴结清扫术,D2组行D2淋巴结清扫术。应用SPSS 22.0统计学软件进行数据分析,围手术期各项指标等计量资料以(

xˉ
±s)表示,采用独立样本t检验;术后并发症等计数资料采用χ2检验。以P<0.05表示差异有统计学意义。

结果

D3组患者淋巴结清扫数多于D2组(P<0.05),D3组患者手术时间、引流时间和住院时间均长于D2组,差异均有统计学意义(P<0.05);D3组和D2组患者并发症发生率分别为3.0%和10.1%,D3组低于D2组(P<0.05)。

结论

D3淋巴结清扫术可明显提升腹腔镜右半结肠癌根治术疗效,建议推广应用。

Objective

To observe the efficacy of D3 lymph node dissection of right colon on patients undergoing laparoscopic radical resection of right colon cancer.

Methods

199 patients with right colon cancer treated from October 2019 to January 2021 were selected for study. They were divided by the random number table method into D3 group(n=100 cases)and D2 group(n=99 cases). Both groups received laparoscopic radical resection of right colon cancer,while group D3 underwent D3 lymph node dissection and group D2 underwent D2 lymph node dissection. SPSS 22.0 statistical software was used for data analysis. The measurement data of perioperative indexes were expressed by(

xˉ
±s),and independent t test was used;the count data of postoperative complications were tested by χ2 test,and the statistical significant difference was expressed by P<0.05.

Results

The number of lymph node dissection of patients in group D3 was more than that in group D2(P<0.05),the operation time,drainage time and hospitalization time in D3 group were longer than those in D2 group(P<0.05);the incidence of complications in group D3 and D2 were 3.0% and 10.1% respectively. The incidence of complications in group D3 was lower than that in group D2(P<0.05).

Conclusion

D3 lymphadenectomy can significantly improve the efficacy of laparoscopic radical resection of right colon cancer,which is recommended to be popularized.

表1 199例右半结肠癌不同术式两组患者一般资料比较[(
xˉ
±s),例]
表2 199例右半结肠癌不同术式两组患者疗效比较(
xˉ
±s)
表3 199例右半结肠癌不同术式两组患者术后并发症发生情况比较[例(%)]
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