中心性肥胖对右下入路腹腔镜右半结肠根治术患者手术相关指标的影响分析

Influence of central adiposity on operation-related indices in lower-right laparoscopic radical resection of right-sided colon cancer

目的探讨中心性肥胖对右下入路腹腔镜根治性右半结肠切除术患者手术相关指标的影响。方法回顾性分析2012年1月至2018年1月于本院接受右下入路腹腔镜根治术的110例右半结肠癌患者临床资料,按是否伴中心性肥胖分为A组(n=66,不伴中心性肥胖)与B组(n=44,伴中心性肥胖)。比较两组手术相关指标差异。结果 A组与B组操作性损伤发生率比较,差异无统计学意义(P> 0.05)。A组术中出血量少于B组,手术时间及术后住院时间短于B组,组间比较差异均有统计学意义(均P <0.05);两组淋巴结清扫数目及术后肛门排气时间比较,差异均无统计学意义(均P> 0.05)。A组与B组并发症总发生率比较,差异无统计学意义(P> 0.05)。结论对接受右下入路腹腔镜根治术的右半结肠癌患者而言,如果伴有中心性肥胖,则可能导致手术时间延长、增加术中出血量。

Objectives To investigate effect of central adiposity on operation-related indices in patients receiving lower-right laparoscopic radical resection of right-sided colon cancer.Methods This was a retrospective analysis of 110 patients who received lower-right laparoscopic radical resection of right-sided colon cancer between January 2012 and January 2018.Patients were divided into normal body weight(group A,n=66)and central adiposity group(group B,n=44).Operation-related indices were compared between the two groups.Results There was no significant difference in incidence of operational injury(P>0.05).Blood loss was significantly less,and duration of operation and post-operative hospitalization significantly shorter in group A than group B(P<0.05).Number of dissected lymph nodes,time to postoperative anal exhaust,and incidence of complications were comparable between the two group(P>0.05).Conclusion Central adiposity could increase duration of operation and intraoperative blood loss in patients who receive lower-right laparoscopic radical resection of right-sided colon cancer.