腹腔镜辅助下右半结肠切除术治疗结肠癌的临床效果

Clinical Effect of Laparoscopic-assisted Right Colectomy in Treatment of Carcinoma of Colon

目的探讨腹腔镜辅助下右半结肠切除术治疗结肠癌的临床应用价值。方法方便选取该院2015年6月—2017年11月收治的结肠癌患者58例作为观察组,实施腹腔镜辅助下右半结肠切除术治疗。并选取同期58例结肠癌患者作为对照组,实施常规开腹手术治疗,对比两组临床治疗效果、术后恢复情况及并发症发生情况。结果观察组手术时间为(102.25±25.60)min,明显低于对照组的(138.11±21.49)min,差异有统计学意义(t=3.41,P=0.01);观察组术中出血量为(45.11±10.26)m L,低于对照组的(95.31±15.81)m L,差异有统计学意义(t=3.27,P=0.01);观察组淋巴结清扫数目为(12.59±3.51)个,对照组淋巴结清扫数目为(12.57±3.40)个,两组对比差异无统计学意义(t=0.13,P=0.89)。观察组首次下床时间为(3.31±0.59)d,对照组首次下床时间为(5.20±0.71)d,观察组明显短于对照组(t=4.33,P=0.01);观察组首次排气时间为(2.19±0.83)d,短于对照组的(3.61±0.56)d,差异有统计学意义(t=3.25,P=0.02);观察组住院时间为(10.81±1.54)d,短于对照组的(12.67±1.90)d,差异有统计学意义(t=5.32,P=0.01);观察组并发症发生率为1.72%,明显低于对照组的12.07%(χ~2=4.83,P=0.03)。结论对结肠癌患者实施腹腔镜辅助下右半结肠切除术治疗效果更佳,有效缩短了治疗时间,降低了并发症发生率,可在临床上推广。

Objective To study the clinical application value of laparoscopic-assisted right colectomy in treatment of carcinoma of colon.Methods 58 cases of patients with carcinoma of colon admitted and treated in our hospital from June 2015 to November 2017 were convenient selected as the observation group,treated with laparoscopic-assisted right colectomy,while 58 cases of patients with carcinoma of colon at the same period were selected as the control group,treated with routine laparotomy,and the clinical treatment effect,postoperative recovery and occurrence of complications were compared between the two groups.Results The operation time in the observation group was obviously lower than that in the control group,[(102.25±25.60)min vs(138.11±21.49)min],and the difference was obvious(t=3.41,P=0.01);and the intraoperative bleeding amount in the observation group was lower than that in the control group[(45.11±10.26)mL vs(95.31±15.81)mL],and the difference was obvious(t=3.27,P=0.01),and the number of lymph node dissection in the observation group and in the control group was respectively(12.59±3.51)and(12.57±3.40),and the difference was not obvious(t=0.13,P=0.89),and the first time to get out of bed in the observation group was obviously shorter than that in the control group[(3.31±0.59)d vs(5.20±0.71)d](t=4.33,P=0.01);and the first exhaust time in the observation group was shorter than that in the control group[(2.19±0.83)d vs(3.61±0.56)d],and the difference was obvious(t=3.25,P=0.02);and the length of stay in the observation group was shorter than that in the control group[(10.81±1.54)d vs(12.67±1.90)d],and the difference was obvious(t=5.32,P=0.01),and the incidence rate of complications in the observation group was obviously lower than that in the control group(1.72%vs 12.07%)(χ2=4.83,P=0.03).Conclusion The effect of laparoscopic-assisted right colectomy in treatment of carcinoma of colon is better,which can effectively shorten the treatment effect and reduce the incidence rate of complications,which can be promoted in clinic.