完整结肠系膜切除与传统手术在结肠癌中的对比研究

Complete mesocolic excision( CME) with central vascular ligation( CVL) verse traditional resection in right hemicolectomy

目的比较完整结肠系膜切除(CME)与传统手术在右半结肠切除术后并发症、住院时间、肿瘤距离结扎血管根部距离及淋巴结清除量方面的差别。方法回顾性分析2011年1月—2012年1月在蚌埠医学院第一附属医院胃肠外科接受CME手术患者28例,传统手术患者20例的临床病理资料。结果 CME手术组淋巴结清除量明显多于传统手术组(中位数,13枚vs.10枚,P<0.05),肿瘤距离结扎血管根部距离CME手术组亦优于传统手术组(中位数,9.05 cm vs.7.50 cm,P<0.01),在并发症及住院时间方面2组差异无统计学意义(P>0.05)。结论CME手术组与传统手术组比较提高了手术质量,并没有增加并发症。

Objective To compare CME and CVL with traditional resection in complication rate,hospital stay, high tie of supplying vessels and the number of lymph nodes difference. Methods We collected forty-eight patients with right colon cancer in the Department of Gastrointestinal Surgery in the First Affiliated Hospital of Bengbu Medical College from Janu- ary 2011 to January 2012. Twenty-eight patients underwent CME and CVL, the remaining patients received traditional re- section. Results CME and CVL surgery removed more lymph nodes （median, 13 V 10 ;P 〈 0.05 ） compared with tradi- tional resection. The distance between the tumor and the high vascular tie increased from 7.50 to 9.05 （ P 〈 0.01 ）. The hospital stay and the complication rate did not change significantly. Conclusion CME and CVL surgery seemed to im- prove the quality of the operation, not increase postoperative complications.