腹腔镜下右半结肠切除手术治疗结肠癌的临床效果

Clinical effect of laparoscopic right hemicolectomy for colon cancer

目的探讨腹腔镜下右半结肠切除手术治疗结肠癌的临床效果。方法选择2015年1月至2017年12月我院收治的84例结肠癌患者为研究对象,将其按随机数字表法分为对照组和研究组,每组42例。对照组使用开腹手术治疗,研究组使用腹腔镜下右半结肠切除手术治疗。比较两组患者的治疗效果。结果治疗后,研究组患者精神健康与躯体健康各维度评分均高于对照组,差异有统计学意义(P<0.05);研究组患者并发症总发生率显著低于对照组,差异有统计学意义(P<0.05);研究组患者住院时间、术中失血量、术后排气时间、术后下床时间均优于对照组,差异有统计学意义(P<0.05);两组患者淋巴结扫除个数比较,差异无统计学意义(P>0.05);治疗前,两组患者SDS、SAS评分比较,差异无统计学意义(P>0.05);治疗后,两组患者SDS、SAS评分均降低,且研究组低于对照组,差异有统计学意义(P<0.05)。结论应用腹腔镜下右半结肠切除手术治疗结肠癌对患者机体损伤及情绪状态影响小,术后可快速康复,且术后并发症总发生率低,值得应用。

Objective To investigate the clinical effect of laparoscopic right hemicolectomy for colon cancer. Methods Eighty-four patients with colon cancer admitted in our hospital from January 2015 to December 2017 were selected as the research objects. The patients were divided into control group and study group according to the random number table method, with 42 cases in each group. The control group received laparotomy, while the study group received laparoscopic right hemicolectomy. The therapeutic effects of the two groups were compared. Results After treatment, the scores of mental health and physical health in the study group were all higher than those in the control group, the differences were statistically significant (P<0.05). The total incidence of complications in the study group was significantly lower than that in the control group, and the difference was statistically significant (P<0.05). The hospital stay, intraoperative blood loss, postoperative exhaust time and time of getting out of bed after operation in the study group were all better than those in the control group, the differences were statistically significant (P<0.05). There was no significant difference in the number of lymph node dissection between the two groups (P>0.05). Before treatment, there were no significant differences in the scores of SDS and SAS between the two groups (P>0.05). After treatment, the scores of SDS and SAS in both groups decreased, and those in the study group were lower than the control group, the differences were statistically significant (P<0.05). Conclusion Laparoscopic right hemicolectomy in the treatment of colon cancer has little effect on the body injury and emotional state of patients, with fast recovery of patients and low total incidence of complications, which is worth applying.