结肠癌中间入路法完整结肠系膜切除的价值

Feasibility and Clinical Significance of Complete Mesenteric Resection for Colon Cancer With Intermediate Approach

目的探讨应用中间入路法完整结肠系膜切除治疗结肠癌的可行性及临床意义。方法随机选取我院2015年7月—2016年12月收治的70例结肠癌患者,对所有患者进行分类,纳入35例对照组、35例观察组。对照组行传统结肠癌根治术治疗,观察组行中间入路法完整结肠系膜切除治疗,总结归纳两组患者治疗效果。结果观察组治疗效果更接近预设值,与对照组相比,临床指标、并发症发生率、治疗满意度更为理想,差异有统计学意义(P<0.05)。结论采用中间入路法完整结肠系膜切除治疗结肠癌可较好提高淋巴清扫率,降低术后并发症发生率,术中创伤小,有利于改善患者的预后。

Objective To explore the feasibility and clinical significance of total mesenteric resection combined with middle approach in the treatment of colon cancer. Methods 70 patients with colorectal cancer treated in our hospital from July 2015 to December 2016 were randomly selected. All the patients were divided into 35 control groups and 35 observation groups. The patients underwent radical gastrectomy with conventional colorectal cancer. The patients were treated with complete mesenteric resection and the final treatment was summarized. Results Compared with the control group, the clinical outcome, complication rate and treatment satisfaction were more satisfactory in the treatment group under different treatment methods, there was difference statistically significance（P〈0.05）. Conclusion The use of intermediate approach for complete colonic mesorectal resection in the treatment of colorectal cancer can improve the lymphatic dissection rate, reduce the incidence of postoperative complications, intraoperative trauma is small, is conducive to the prognosis of patients.