期刊文献+

完整结肠系膜切除术与传统术式治疗结肠癌的疗效对比 被引量:4

下载PDF
导出
摘要 目的比较完整结肠系膜切除术(CME)与传统术式治疗结肠癌的疗效。方法选取2017年1—12月三门峡市第三人民医院治疗的80例结肠癌患者,采用随机数表法分为对照组和观察组,每组40例。对照组接受传统结肠癌根治术治疗,观察组接受CME治疗。比较两组患者手术相关指标,观察两组患者并发症和术后复发情况。结果观察组淋巴结清扫数目高于对照组,术中出血量小于对照组,差异有统计学意义(均P<0.01)。对照组和观察组并发症发生率分别为15.0%(6/40)、7.5%(3/40),两组并发症发生率差异无统计学意义(P>0.05)。对照组和观察组复发率分别为20.0%(8/40)、2.5%(1/40),观察组复发率低于对照组,差异有统计学意义(P<0.05)。结论采用CME治疗结肠癌,术中出血量更小,淋巴结清扫更彻底,术后复发率更低。
作者 张浩春
出处 《河南医学研究》 CAS 2019年第18期3339-3341,共3页 Henan Medical Research
  • 相关文献

参考文献6

二级参考文献83

  • 1赵东兵,高纪东,单毅,周志祥,袁兴华,吴健雄,邵永孚.结肠癌根治术后转移复发的特点及预后分析[J].中华胃肠外科杂志,2006,9(4):291-293. 被引量:36
  • 2Bertelsen CA, Neuenschwander AU, Jansen JE, et al. Disease free survival after complete mesocolic excision compared with conventional colon cancer surgery: a retrospective, population- based study[J]. Lancet Oncol,2015,16(2) : 161-168.
  • 3Hohenberger W, Weber K, Matzel K, et al. Standardized surgery for colonic cancer: complete mesocolic excision and central ligation-technical notes and outcome[J]. Colorectal Dis,2009,11(4),354 365.
  • 4Sehgal R, Coffey JC. Historical development of mesenteric anatomy provides a universally applicable anatomic paradigm for complete/total mesocolie excision-J]. Gastroenterol Rep,2014,2 (4) :245-250.
  • 5Acar Hi, C6mert A, Avar A, et al. Dynamic article: surgical anatomical planes for complete mesocolic excision and applied vascular anatomy of the right colon[J]. Dis Colon Rectum, 2014,57(10) :1169-1175.
  • 6Tan KY, Kawamura YJ, Mizokami K, et al. Distribution of the first metastatic lymph node in colon cancer and its clinical significance[J]. Colorectal Dis, 2010,12 (1) : 44-47.
  • 7West NP, Hohenberger W, Weber K, et al. Complete mesocolic excision with central vascular ligation produces an oncologically superior specimen compared with standard surgery for carcinoma of the colon[J]. Clin Oncol, 2010,28 (2) : 272-278.
  • 8West NP, Kobayashi PI, Takahashi K, et al. Understanding optimal colonic cancer surgery: comparison of Japanese D3 resection and European complete mesocolic excision with central vascular ligation[J]. Clin Oncol,2012,30(15) :1763-1769.
  • 9Galizia G, Lieto E, De Vita F, et al. Is complete mesocolic excision with central vascular ligation safe and effective in the surgical treatment of right-sided colon cancers? A prospective study[J]. Int J Coloreetal Dis,2014,29(1) :89-97.
  • 10Munkedal DL, West NP, Iversen LH, et al. Implementation of complete mesocolic excision at a university hospital in Denmark: an audit of consecutive, prospectively collected colon cancer specimens[J]. Eur J Surg Oneol, 2014,40 ( 11 ). 1494- 1501.

共引文献147

同被引文献29

引证文献4

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部