改良右半结肠切除术治疗结肠癌的疗效

Modified Right Hemicolectomy for Colon Cancer

目的探讨改良右半结肠切除术治疗结肠癌的临床疗效。方法将80例结肠癌患者按不同的手术方式分为观察组和对照组,每组40例。观察组行改良右半结肠切除术,对照组行传统右半结肠切除术。观察2组手术时间、术中出血量、淋巴结清扫数、胃肠功能恢复时间、住院时间及术后并发症(吻合口闭合不良、感染)发生率和3年复发率、生存率。结果观察组手术时间、胃肠功能恢复时间和住院时间均较对照组明显缩短,术中出血量少于对照组,术后感染发生率、3年复发率均明显低于对照组,3年生存率明显高于对照组(均P<0.05)。结论改良右半结肠切除术治疗结肠癌安全、有效,能够降低复发率,提高患者的生存率。

Objective To explore the clinical effect of modified right hemicolectomy on colon cancer.Methods Eighty patients with colon cancer were treated with either modified right hemicolectomy（observation group,n=40）Operation time,intraoperative bleeding volume,lymph node yield,gastrointestinal function recovery time,hospitalization time and postoperative complications（anastomotic closure disturbance,infection）incidence,3-years recurrence rate and survival rate were compared between the two groups.Results Compared with traditional right hemicolectomy,modified right hemicolectomy shortened the operation time,time to recovery of gastrointestinal function and length of hospital stay,reduced the intraoperative blood loss,postoperative infection rate and 3-year recurrence rate,and increased the 3-year survival rate（P〈0.05）.Conclusion The modified right hemicolectomy is safe and reliable for colon cancer,and can decrease recurrence rate and improve survival rate.