尾侧入路法与中间入路法在腹腔镜右半结肠癌根治术中的应用效果观察

Comparison of the effects of caudal approach and intermediate approach in laparoscopic radical resection of right hemi-colon carcinoma

目的:探讨尾侧入路法与中间入路法在腹腔镜右半结肠癌根治术中的应用效果。方法:选取120例腹腔镜右半结肠癌根治术患者作为研究对象,根据随机数表法分为对照组和观察组,每组各60例。对照组给予腹腔镜下中间入路右半结肠癌根治术,观察组进行腹腔镜下尾侧入路右半结肠癌根治术,观察两组患者的手术指标、术后并发症。结果:观察组的手术时间短于对照组,术中出血量少于对照组,术后第1次排气时间比对照组短,中转开腹率低于对照组,差异有统计学意义(P<0.05);观察组术后并发症发生率比对照组低,差异有统计学意义(P<0.05)。结论:在腹腔镜右半结肠癌根治术中行尾侧入路方式,可有效缩短手术时间,降低术中出血量,缩短患者术后排气时间、降低中转开腹率以及减少术后患者并发症的发生率。

Objective:To investigate the effects of caudal approach and intermediate approach in laparoscopic radical resection of right hemi-colon carcinoma.Methods:120 patients underwent laparoscopic radical resection of right hemi-colon cancer were selected of as the subjects,who were randomized into the control group and observation group.Caudal approach was used for patients in control group,while intermediate approach for patients in the observation group during laparoscopic radical resection of right hemi-colon carcinoma.The operation indexes and postoperative complications of both groups were compared.Results:The operative time of the observation group was shorter than that of the control group,the intraoperative blood loss was less than that of the control group,the first postoperative exhaust time was shorter than that of the control group,and the rate of conversion to laparotomy was lower than that of the control group,which were of statistical significances(P<0.05).The incidence of postoperative complications in the observation group was,lower than that in the control group,which was of statistical difference(P<0.05).Conclusion:caudal approach in laparoscopic radical resection of right hemi-colon carcinoma can effectively shorten the operation time and the postoperative exhaust time,reduce the amount of blood loss,the rate of conversion to laparotomy and the incidence of postoperative complications.