头侧-中央联合入路与单纯头侧入路治疗右半结肠癌患者效果观察

Observation of the effect of head-center combined approach and head-only approach in patients with right hemicolon cancer

目的对比分析头侧-中央联合入路与单纯头侧入路治疗右半结肠癌患者的效果。方法选取2016年1月至2018年12月收治的90例右半结肠癌患者随机分为观察组和对照组,均采用腹腔镜手术治疗,观察组采用头侧-中央联合入路,对照组采用单纯头侧入路,比较两组手术指标、术后恢复指标及并发症发生情况。结果两组患者切除标本长度、清扫淋巴结数目差异无统计学意义(P>0.05),观察组患者手术时间较对照组显著缩短,术中出血量较对照组显著降低,差异具有统计学意义(P<0.05),观察组患者退热时间、术后排气时间、住院时间较对照组均显著缩短,差异均具有统计学意义(P<0.05),观察组、对照组术后并发症发生率分别为6.67%、11.11%,差异无统计学意义(P>0.05)。结论腹腔镜下头侧-中央联合入路半结肠癌根治术治疗右半结肠癌患者可缩短手术时间,减少术中出血量,安全可靠,且能够促进患者术后恢复,缩短住院时间,值得在临床上推广。

Objective To compare and analyze the effect of head-centre combined approach and head-only approach in the treatment of patients with right colon cancer.Methods Select 90 patients with right colon cancer who were treated from January 2016 to December 2018.They were randomly divided into the observation group and the control group,both of which were treated with laparoscopic surgery.The observation group was treated with a head-to-center approach and the control group was treated with a simple head-to-head approach.The surgical indicators,postoperative recovery indicators,and complications were compared between the two groups.Results There was no significant difference in the length of the resected specimens and the number of lymph nodes removed in the two groups(P>0.05).The operation time in the observation group was significantly shorter than that in the control group,and the intraoperative blood loss was significantly shorter than that in the control group.The difference was statistically significant(P<0.05).The antipyretic time,postoperative exhaust time,and hospital stay of the observation group were significantly shorter than those of the control group,and the differences were statistically significant(P<0.05).The incidence rates of postoperative complications in the observation group and control group were 6.67%and 11.11%,respectively,with no statistically significant difference(P>0.05).Conclusion Laparoscopic head-center combined approach for radical hemicolonectomy for right colon patients can shorten the operation time and reduce blood loss,the whole reliable,and promote postoperative recovery,shorter hospital stay,and it is recommended in clinical practice.