腹腔镜右半结肠切除术治疗结肠癌的短期临床疗效分析

Short-term outcomes of laparoscopic right hemicolectomy for right-sided colon carcinoma

目的探讨腹腔镜右半结肠切除术治疗结肠癌患者的短期疗效。方法回顾南方医科大学南方医院2017年4月—2018年3月收治的98例结肠癌患者的资料,根据治疗方案分为观察组(49例,采用腹腔镜行右半结肠切除术)和对照组(49例,采用开腹手术切除右半结肠),比较2组手术时长、术中出血量、不良反应发生率。结果观察组的手术耗时、术中出血量低于对照组,淋巴结清扫数目高于对照组,差异比较有统计学意义(P<0. 05)。观察组的不良反应发生率6. 12%低于对照组的24. 49%,差异比较有统计学意义(P<0. 05)。结论腹腔镜右半结肠切除术治疗结肠癌患者效果显著,相较于开腹手术缩短了手术时间,减少了术中出血量,降低了术后不良反应发生率,提高了淋巴结清扫数目,值得推广应用。

Objective To explore the short-term therapeutic effect of laparoscopic right hemicolectomy in patients with colon cancer. Methods A total of 98 patients with colon cancer treated in Nanfang Hospital from April 2017 to March 2018, and divided into two groups according to different treatment regimens. The control group received laparotomy and the observation group received laparoscopic right hemicolectomy. Results The operative time and intraoperative blood loss of the observation group were lower than those of the control group, and the number of lymph node dissection was higher than that of the control group which have statistical significance ( P <0.05). The incidence of adverse events in the observation group was 6.12% and significantly lower than 24.49% in the control group ( P <0.05). Conclusion Laparoscopic right hemicolectomy is effective in treating colon cancer patients. Compared with open surgery, laparoscopic surgery reduces operation time, intraoperative blood loss, reduces the incidence of postoperative adverse events, and increases the number of lymph node dissection, which is worthy of application.