全结肠系膜切除应用于腹腔镜辅助右半结肠癌根治术的安全性及疗效分析

Safety and effect analysis of laparoscopic complete mesocolic excision in right-sided colon cancer patients

目的腹腔镜右半结肠癌全结肠系膜切除的疗效及安全性。方法选取68例本院接收的右半结肠癌患者,时间为2016年5月至2017年5月期间,随机分为对照组(n=34,开腹下行全结肠系膜切除)与观察组(n=34,腹腔镜下全结肠系膜切除),对两组手术相关指标及并发症进行观察及对比。结果两组淋巴结清扫数目、手术时间、排气时间、住院时间及平均失血量比较差异无统计学意义;两组并发症发生率比较差异无统计学意义。结论腹腔镜下行全结肠系膜切除是安全、有效的,相比于开腹CME并不增加术后并发症及手术风险,值得推广。

Objective To study the clinical effect and safety of laparoscopic complete mesocolic excision (CME). Methods 68 right-sided colon cancer patients treated from May 2016 to May 2017 in our hospital were selected and randomly assigned to two groups, 34 cases in each group. The control group was treated with open CME;the observation group was treated with laparoscopic CME. The operation index and complication rate were compared. Results The dissected lymph node number, operation time, exhaust time, hospitalization time and average blood loss for two groups were not significantly different;the complication rate for two groups were not significantly different. Conclusion Compared with open CME, the laparoscopic CME can increase the clinical safety and effect, and produce no obvious effect in the postoperative complications and operation risks. It is worthy of promotion.