腹腔镜辅助右半结肠癌根治术与开放手术的临床应用比较

The efficacy of laparoscopic-assisted hemicolectomy versus that of open hemicolectomy for right colon carcinoma

目的:比较分析腹腔镜辅助下右半结肠癌根治术与开放手术的临床效果,探讨前者的安全性及有效性。方法:回顾性分析我科2009年12月至2013年12月共46例腹腔镜辅助下右半结肠癌根治术与同期68例开放右半结肠癌根治术患者临床病理资料,同时比较两组的术后住院时间、手术时间、术中出血量、清扫淋巴结数、手术费用、排气时间、术后并发症及生存率情况。结果:术前资料性别、年龄、BMI、病理分型和浸润深度及术后清扫淋巴结总数等临床资料分析显示,两组差异无统计学意义。腹腔镜组术后住院时间6.84 d,而开放组为11.72 d,差异具有统计学意义,两组患者手术时间、住院费用相比,差异无统计学意义,腔镜组术中出血量76.63 m L,而开放组为141.5 m L,两组差异具有统计学意义。两组患者术后排气时间比较,差异有统计学意义。结论:腹腔镜辅助右半结肠癌根治术治疗结肠癌安全有效,具有创伤小、术后恢复快、手术切口美观等优点。

Objective To compare the efficacy of laparoscopic-assisted hemicolectomy with that of open hemicolectomy for right colon carcinoma and to explore the safety and effectiveness of the formor procedure. Methods The clinical data on 46 patients who had undergone laparoscopic-assisted hemicolectomy and 68 patients who had received open hemicolectomy between December 2009 and December 2013 in our department were retrospectively analyzed. Length of postoperative hospital stay, surgical duration, amount of intraoperative blood loss, number of lymph node dissection, time to postoperative anal exhaust, surgical costs, postoperative complications, and survival rate were compared between the two groups. Results There were no statistical differences between the two grounps in gender, age, body mass index, pathological typing, depth of invasion, and total number of lymph node dissection. Length of hospital stay was 6.84 days in the group of laparoscopic- assisted hemicoleetomy and 11.72 days in the group of open hemicolectomy, with a statistical significance. Surgical duration and treatment costs did not differ significantly between the two groups; while amount of intraoperative blood loss （76.63 mL vs. 141.5 mL） and time to postoperative anal exhaust differed significanly. Conclusions Laparoscopic-assisted hemicolectomy is safe and effective for treatment of colon cancer, It has advantages of small trauma, rapid postoperative recovery, and a nice-looking surgical incision.