早期结肠癌实施肠系膜完整切除术的临床研究

Clinical study of mesenteric complete resection on early colon cancer

目的:评析早期结肠癌实施肠系膜完整切除术的临床效果。方法:收治早期结肠癌患者84例,随机分为对照组与研究组各42例,术式的选择分别为传统根治术、肠系膜完整切除术,术毕从手术情况、术后吻合口瘘及残端肿瘤残余等方面对手术疗效进行评析。结果:研究组的淋巴结清扫数目明显更多(P<0.05),而术中失血量、术后排气时间、拔管时间、术后进食时间及住院时间明显少于对照组(P<0.05);研究组的术后吻合口瘘、残端肿瘤残余发生率相比于对照组显著更低(P<0.05)。结论:早期结肠癌实施肠系膜完整切除术对比传统根治术不仅疗效更优,且创伤小、恢复快、并发症少。

Objective:To analyze the clinical effect of mesenteric complete resection on early colon cancer.Methods:84 patients with early colon cancer were selected.They were randomly divided into the control group and the study group with 42 cases in each.The operation choices were respectively the traditional radical operation,mesenteric complete resection.The operation curative effect was analyzed from operation situation, postoperative anastomosis fistula and residual tumor remnants.Results:The lymph node dissection number of the study group was significantly higher(P<0.05),and the intraoperative blood loss,postoperative exhaust time,pull tube time,postoperative feeding time and hospitalization time were significantly less than those of the control group(P<0.05).The occurrence rates of postoperative anastomosis fistula and residual tumor remnants in the study group were significantly lower than those of the control group(P<0.05).Conclusion:Compared with the traditional radical operation,the curative effect of mesenteric complete resection on early colon cancer is better,and it has less trauma,faster recovery and less complication.