腹腔镜与开腹手术治疗右半结肠癌的临床疗效比较

Comparsion on the Clinical Effect of Laparoscopic Procedure and Traditional Open Procedure for Right Hemi-colon Carcinoma

为比较腹腔镜与传统开腹手术治疗右半结肠癌的临床疗效，选择2012年1月至2015年12月拟行手术治疗的70例右半结肠癌患者进行研究，随机分为研究组和对照组，各35例，研究组接受腹腔镜结肠癌根治术，对照组常规开腹行结肠癌根治术。对比2组患者手术疗效和手术相关指标。结果显示，2组患者在手术时间及术后肺部感染、肠梗阻、肠瘘发生率方面比较差异均无统计学意义，P〉0．05；但研究组术中失血量、切口长度，术后排气时间、引流时间、下床活动时间、住院时间，以及术后3年存活率方面均明显优于对照组，P〈0．05。结果表明，与传统开腹手术治疗右半结肠癌相比，腹腔镜手术创伤更小，患者术后恢复更快，切口感染率更低，术后3年存活率更高。

This study was to compare the clinical effect of laparoscopic procedure and traditional open procedure for right hemi-colon carcinoma; selected the 70 cases of this carcinoma to be subjected to surgery from Jan. 2012 to Dec. 2015 yr. and randomly divided them into study group and control one,35 cases for each;both groups respectively received laparoscopic and traditional open colon carcinoma radical procedure; then both group＇s operative effect, and the operative relevant indexes were compared. As results, in opera- tive time,the postoperative incidence of lung infection,intestinal obstruction and fistula there was no sta- tistical difference between both groups （ P 〉 0.05）, but in intraoperative bleeding volume and incision length, postoperative time of flatus, drainage time, ambulation time, hospitalization time, as well as postoperative 3-year survival rate the study group was all superior to the control group （ P 〈0.05）.Results show that compared with traditional open procedure laparocopic procedure for right hemi-colon carcinoma patients from smaller trauma, and after operation the infection rate of incision is lower, patients recovery is faster,3-year survival rate is higher.