腹腔镜辅助与传统手术治疗右半结肠癌近期疗效比较

Comparison of the short-term treatment outcomes of laparoscopic-assisted and traditional surgery for right hemicolon cancer

目的:探讨腹腔镜辅助与传统手术治疗结肠癌的短期疗效。方法:回顾分析16例腹腔镜辅助下结肠癌根治术(腹腔镜组)及20例传统结肠癌根治术(开腹组)的临床资料,对比两组患者手术及术后情况。结果:腹腔镜组切口长度、术后止痛时间、下床活动时间、胃肠道功能恢复时间、住院时间均优于开腹组,差异均有统计学意义(P<0.01),但开腹组手术时间、住院费用优于腹腔镜组,差异有统计学意义(P<0.05);两组患者术中出血量、淋巴结清除数量差异均无统计学意义(P>0.05)。结论:腹腔镜辅助右半结肠癌根治术安全、可行,具有患者创伤小、术后康复快的优点,根治效果可达到开腹手术的水平。

Objective：To explore the short-term efficacy of laparoscopic-assisted and traditional surgery for colon cancer. Methods：The clinical data of 16 patients who underwent laparoscopic right hemicolectomy for colon carcinoma and 20 patients who un- derwellt open right hemicoleetomy for colon carcinoma from Jan. 2010 to Dec. 2012 were retrospectively analyzed. Their operative and postoperative conditions were compared. Results：The incision length, time of postoperative pain, postoperative leaving bed activity time, recovery time of gastrointestinal function and hospital stay of laparoscopic group were better than those of open group （P 〈 0.01 ）. The mean operative time and hospitalization expenses of open group were better than those of laparoscopic group （ P 〈 O. 05）. The differ- ences of intra-operative blood loss and the number of cleared lymph nodes between laparoseopie group and open group were not signifi- cant （ P 〉 0.05 ）. Conclusions ： The laparoseopic-assisted right hemieolectomy for colon carcinoma is safe and effective. It has advanta- ges of less blood loss and trauma, earlier postoperative recovery, and similar radical effect as laparotomy.