腹腔镜右半结肠淋巴结清扫与开腹术的比较分析

Comparative analysis of laparoscopic right colon lymphadenectomy versus open surgery

目的随机对比分析研究腹腔镜下右半结肠根治术与同期开腹手术的淋巴结清扫效果。方法回顾性分析本院近2年(2011年6月至2013年6月)37例腹腔镜下右半结肠根治患者相关资料,与同期31例开腹手术以手术时间、淋巴结清扫数目、术后并发症、住院时间等指标作对比研究。结果两组术前资料无明显差异;腹腔镜组手术时间长于开腹组,住院时间较开腹组缩短,两组术后并发症发生率无统计学意义,腔镜组淋巴结清扫数目较开腹组明显增多(P<0.05)。结论腹腔镜技术在明显缩短患者住院时间的同时,在右半结肠根治的淋巴结清扫中亦凸显出一定程度的优势。

Objective Randomized comparative study of laparoscopic radical resection of right colon D3 effect of laparotomy lymph node dissection during the same period. Methods Through the investigation of the recent 2 years （June 2011 to June 2013） in 37 cases of laparoscopic radical resection of right colon and laparotomy in 31 cases over the same period, duration of operation, the number of lymph node dissection and postoperative complications, hospital stays and other indicators for comparative analysis study. Results Preoperative information are not significantly different in two groups; group laparoscopic surgery takes longer than laparotomy group, shorten hospital stay than the laparotomy group , the incidence of postoperative complications was not statistically significant , the number of laparoscopic lymphadenectomy group increased significantly compared with the open group （P 〈0. 05） . Conclusion In the laparoscopic group significantly reduced patient length of stay at the same time, radical lymph node dissection of right colon D3 also highlights certain advantages.