全结肠系膜切除术在右半结肠癌根治性手术中的应用

Application of complete mesocolic excision in radical operation for right-sided colon cancer

目的观察全结肠系膜切除术(CME)在右半结肠癌根治性手术中的应用效果。方法 72例右半结肠癌患者作为研究对象,根据手术方式不同分为对照组和观察组,各36例。对照组接受传统根治术治疗,观察组接受全结肠系膜切除术治疗。比较两组临床疗效。结果观察组淋巴结清扫总数量优于对照组(P<0.05);观察组患者术中出血量和术后排气、进食时间均优于对照组(P<0.05);观察组患者并发症发生率为13.89%,低于对照组的36.11%,差异具有统计学意义(P<0.05)。结论全结肠系膜切除术应用于右半结肠癌根治性手术中,可有效清扫淋巴,提高结肠癌手术治疗效果,降低并发症发生率,值得临床推广。

Objective To observe Application effect by complete mesocolic excision （CME） in radical operation for right-sided colon cancer. Methods A total of 72 patients with right-sided colon cancer as study subjects were divided by different operation measures into control group and observation group, with 36 cases in each group. The control group received traditional radical operation for treatment, and the observation group received complete mesocolic excision for treatment. Clinical effects were compared between the two groups. Results The observation group had better total lymph node dissection number than the control group （P〈0.05）. The observation group had all better intraoperative bleeding volume, postoperative exhaust time and feeding time than the control group （P〈0.05）. The observation group had lower incidence of complications as 13.89% than 36.11% in the control group, and their difference had statistical significance （P〈0.05）. Conclusion Implement of complete mesocolic excision in radical operation for right-sided colon cancer can effectively dissect lymph, improve curative effect by operation for colon cancer and lower incidence of complications. This method is worth clinical promotion.