河北医科大学学报

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腹腔镜完整结肠系膜切除术在右半结肠癌根治术中的应用

  

  1. 扬州大学医学院附属医院,江苏省仪征市人民医院普通外科,江苏 仪征 211400
  • 出版日期:2017-11-25 发布日期:2017-11-16
  • 作者简介:赵恒兰(1970-),女,江苏仪征人,江苏省仪征市人民医院副主任医师,医学学士,从事普外科疾病诊治研究。

Application of laparoscopic comeplete mesocolic excision with a medicaltolateral approach for right colonic cancer#br#

  1. Department of General Surgery, Yizheng City People′s Hospital, the Affiliated Hospital of Yangzhou University, Yizheng 211400, China
  • Online:2017-11-25 Published:2017-11-16

摘要: [摘要]〓
〖HTH〗目的〖HTSS〗〖KG*2〗探讨完整结肠系膜切除(comeplete mesocolic excision,CME)在中间入路腹腔镜右半结肠癌根治术中的可行性及近期疗效。
〖HTH〗方法〖HTSS〗〖KG*2〗回顾性分析20例腹腔镜右半结肠CME手术与27例开腹手术患者的临床资料,比较2组的一般情况、手术学指标、术后恢复情况。
〖HTH〗结果〖HTSS〗〖KG*2〗CME组手术时间显著长于对照组,术中出血量、术后住院时间明显少于对照组,清扫淋巴结数目显著多于对照组,差异均有统计学意义(P<005);2组间所切标本长度、肿瘤大小、术后并发症发生率差异均无统计学意义(P>005)。
〖HTH〗结论〖HTSS〗〖KG*2〗右半结肠癌行腹腔镜中间入路CME安全可行,近期疗效优于开腹手术。

关键词: 结肠肿瘤, 腹腔镜, 治疗结果

Abstract: [Abstract]  Objective〖HTSS〗〓To investigate the application and shortterm efficacy of laparoscopic comeplete mesocolic excision(CME) with a medicaltolateral approach for right colonic cancer.
〖HTH〗〖WTHZ〗Methods〖HTSS〗〓Clinical data of 47 cases of right colon cancer were analyzed retrospectively. Twenty cases in observation group underwent laparoscopic CME and 27 patients in control group received the traditional open surgery. Demography, surgical procedure, operation indicators and shortterm outcomes were compared in two groups.
〖HTH〗〖WTHZ〗Results〖HTSS〗〓All patients have undergone operations successfully. The operative time in CME group was longer than that in the control group, the number of harvested lymph node in CME and control group respectively,intraoperative blood loss, and the postoperative hospital stay in CME and control group respectively, which both were significantly different(P<0.05), whereas the incidence of postoperative complications in two group were not significantly different(P>0.05).
〖HTH〗〖WTHZ〗Conclusion〖HTSS〗〓Laparoscopic CME with a medicaltolateral approach for right colonic cancer is safe and feasible,and associated with better shortterm outcomes when compared with open surgery.

Key words: colonic neoplasms, laparoscopes, treatment outcome