腹腔镜辅助右半结肠全系膜切除术16例体会

Laparoscopy-assisted complete mesocolic excision for right colon cancer:a 16 cases report

目的探讨全结肠系膜切除术(CME)在右半结肠癌切除术中的临床体会。方法回顾性分析2010年1月至2013年1月的16例右半结肠癌患者行CME手术治疗的临床资料,并与开腹手术组做比较。结果全组16例均顺利完成手术,平均手术时间90 min,术中出血100 ml,淋巴结清扫数目15枚,住院日9 d,术后未发生淋巴漏、吻合口漏、出血。和对照组比较,腔镜组在术中出血、术后止痛药用量、胃肠道功能恢复时间及住院天数等方面具有明显优势。结论右半结肠癌行CME不增加手术风险性,近期效果满意。

Objective To evaluate the efficacy of complete mesocolic excision in laparoscopy- assisted right hemicolon carcinoma radical resection. Methods The clinical data of 16 cases of right colon cancer who underwent laparoscopy-assisted complete mesocolic excision at Taizhou People＇s Hospital from January 2010 to January 2013 were analyzed retrospectively. Results The operations were completed successfully without conversion to open surgery.The mean operative time was 90 rain.The blood loss was 100 ml.The median number of total lymph nodes removed was 15. The average time for passage of flatus was 9 days. No anastomotic fistula, bleeding, lymphatic leakage occurred. Laparoseopy causes less intraoperative bleeding, post-operative wound pain ,recovery time of bowl function, and length of stay than traditional operation. There were no statistical differences in operation time. Conclusions Laparoscopy-assisted complete mesocohc excision for right colon cancer is safe and feasible.The short-term treatment results were satisfactory.