完整结肠系膜切除术与传统根治术治疗结肠癌的疗效对比

Comparison on the Curative Effect of Complete Mesocolic Excision and Traditional Radical Surgery in the Treatment of Colon Cancer

目的对比完整结肠系膜切除术与传统根治术治疗结肠癌的疗效。方法选取我院2016年1月至2017年1月收治的200例结肠癌患者,平均分为对照组和研究组。研究组采用完整结肠系膜切除术,对照组采用传统根治术。对比两组患者的术中情况、术后恢复情况、复发率及并发症发生率。结果与对照组比较,研究组的术中出血量较少,淋巴结清扫数较多,术后恢复情况较好,差异均有统计学意义(P<0.05)。研究组的术后并发症发生率和复发率均明显低于对照组,差异有统计学意义(P<0.05)。结论与传统根治术比较,完整结肠系膜切除术在治疗结肠癌中术具有较好的近期、远期治疗效果,是一种安全、可靠的治疗方法,值得临床应用。

Objective To compare the curative effect of complete mesocolic excision and traditional radical surgery in the treatment of colon cancer. Methods 200 cases of patients with colon cancer admitted to our hospital from January 2016 to January 2017 were selected and divided into control group and study group equally. The study group received complete mesocolic excision, while the control group received traditional radical surgery. The intraoperative conditions, postoperative recovery, recurrence rate and incidence of complications were compared between two groups. Conclusions Compared with the control group, the intraoperative blood loss of study group was less, the numbers of lymph node removal were more and the postoperative recovery was better, with statistical differences （P 〈0.05）. The incidence of complications and the recurrence rate of study group were significantly lower than those of control group, with statistical differences （P〈0.05）. Conclusions Compared with traditional radical surgery, complete mesocolic excision in the treatment of colon cancer has better short-term and long-term effect and is a safe and reliable treatment method, which is worthy of clinical application.