摘要
目的分析比较腹腔镜辅助下根治性右半结肠切除术与传统开腹根治性右半结肠切除术的临床疗效。方法回顾性观察2013年3月—2015年3月罗定市人民医院68例行腹腔镜下根治性右半结肠切除术和同期68例行开腹切除术患者的临床疗效。结果腹腔镜组手术切口长度、术中失血量优于开腹组(P<0.05),手术时间长于开腹组(P<0.05),清扫淋巴结数无显著差异;且腹腔镜组患者术后排气时间、下床活动时间、住院时间优于开腹组(P<0.05)。结论腹腔镜辅助下根治性右半结肠切除术,能保证与传统开腹手术相同的疗效,具有切口长度小、术中失血量少、术后恢复快和住院时间短等优点,值得临床推广。
Objective To compare the clinical effects between laparoscopic-assisted radical right hemicolectomy and traditional open right laparotomy. Methods The clinical data of 68 patients undergoing laparoscopic-assisted radical right hemicolectomy and 68 patients receiving open right laparotomy between March 2013 and March 2015 in our hospital were retrospectively observed, and the therapeutic effects were compared. Results The incision length and volume of in traoperative blood loss in laparoscopic group were significantly better than those in laparotomy group （P〈 0.05）.The operation time in laparoscopic group was significantly longer than that in laparotomy group （P〈0.05）.There was no significant difference in the number of dissected lymph nodes between two groups. The evacuation time, time of leaving bed and hospitalization time in laparoscopic group were significantly better than those in laparotomy group （P〈 0.05）. Conclusion Compared with traditional laparotomy, laparoscopic-assisted radical right hemicolectomy has similar therapeutic effect, smaller incision length, fewer volume of intraoperative blood loss, faster recovery and shorter hospitalization time, and is worthy of clinical application.
出处
《外科研究与新技术》
2016年第1期15-17,共3页
Surgical Research and New Technique
