腹腔镜和开腹右半结肠癌根治术临床对比分析

Comparative clinical study between laparoscopic and open radical resection of right colon cancer

目的分析腹腔镜下右半结肠癌根治术的安全性和有效性。方法结肠癌病人81例,根据不同术式分为观察组39例,行腹腔镜右半结肠癌根治术。对照组42例,行开腹手术。比较两组病人的围手术期情况、术后并发症发生率及近期预后。结果观察组术中切口长度(5.2±1.1)cm、失血量(89.4±30.6)ml、术后排气时间(4.2±1.5)天、术后住院时间(11.8±1.5)天,均低于对照组(P<0.05);两组病人淋巴结清扫数目、拔管时间、手术时间、住院费用、术后并发症发生率及1年生存率、复发率比较差异无统计学意义(P>0.05)。结论腹腔镜右半结肠癌根治术近期预后与开腹根治术接近,且能大大促进病人的早期康复,值得临床注意。

Objective To investigate the effectiveness and safety of laparoscopic and open radical resection of right colon cancer. Methods The clinical data of 81 cases of colon cancer were analyized retrospectively. According to the different surgical methods,all patients were divided into laparoscopic surgery group（ n = 39） and open surgery group（ n = 42）. Perioperative conditions,postoperative complications and short-term prognosis were compared between these two groups. Results There was significant difference in the length of incision（5. 2 ± 1. 1） cm,bleeding volume（89. 4 ± 30. 6） ml as well as the time of exsufflation（4. 2 ± 1. 5） d and hospitalization after operation（11. 8 ± 1. 5） d（ P〈0. 05）. There was no remarkable difference in the time of extubation,total number of lymph node dissection,operative time,cost of hospitalization,incidence of postoperative complications,the rate of survival and recurrence in 1 year（ P〈0. 05）. Conclusion There was no significant difference in short-term prognosis between these two groups. laparoscopic radical resection of right colon cancer deserve to be popularized by means of enhance recovery after surgery.