全结肠系膜切除术在腹腔镜辅助右半结肠癌根治术中的应用效果

Complete mesocolic excision applied in laparoscope-assistantly radical surgery for right colon cancer:Efficacy observation

目的探究全结肠系膜切除术(CME)在腹腔镜(LS)辅助右半结肠癌(RCC)根治术中的应用效果。方法将笔者所在医院收治的78例原发性RCC患者随机分为两组,各39例。对照组给予传统根治手术治疗,研究组给予CME根治性手术治疗,比较两组患者的治疗效果。结果研究组与对照组手术时间相比,无明显差异(P>0.05),但研究组术中出血量明显少于对照组、肛门排气时间、住院天数明显短于对照组,差异有统计学意义(P<0.05);对照组淋巴结清扫数量明显少于研究组,差异有统计学意义(P<0.05);研究组与对照组并发症发生率分别为10.3%、28.2%,两组对比差异有统计学意义(P<0.05)。结论 CME在LS辅助RCC根治术中具有较高的可行性,临床应用安全、可靠,有利于增加淋巴结的清扫数量,促进患者术后康复,应用价值显著,值得推广。

Objective To explore the effect of complete mesocolic excision（CME） applied in laparoscope- assisted radical resection of right colon cancer （RCC）. Methods The 78 cases of primary RCC in author＇s hospital were randomly divided into two groups,39 cases for each group. The control group was treated with conventional radical surgery,the study group was treated with CME used in radical excision;then the effect was compared between the two groups. Results In the operation time there was no significant difference （P〉0.05） between both groups,but in the study group blood loss was significantly less than in the control group,anal exhaust time,hospitalization time were significantly shorter than in the control group,the difference was statistically significant （P〈0.05）;in the control group,the number of lymph nodes was significantly less than in the study group,the difference was statistically significant （P〈0.05）;in the study group and the control group complication incidence was 10.3% and 28.2%,respectively,there were statistically significant differences between the two groups （P〈0.05）. Conclusion CME applied in laparoscope-assisted RCC radical surgery has a high feasibility,and is safe and reliable;it is conducive to increase the number of lymph node dissection,can promote postoperative recovery of patients,the value is significant,thus worth promoting.