尾侧背侧入路与尾侧腹侧入路腹腔镜右半结肠癌根治术效果比较

Comparison of effects of laparoscopic radical resection of right colon cancer through caudal dorsal approach and caudal ventral approach

目的:比较尾侧背侧入路与尾侧腹侧入路腹腔镜右半结肠癌根治术的效果。方法:选取67例右半结肠癌患者为研究对象,按照随机数字表法分为研究组(n=33)和对照组(n=34)。两组均行腹腔镜右半结肠癌根治术,对照组采用尾侧腹侧入路(经典中间入路),研究组采用尾侧背侧入路。比较两组手术相关指标水平、术中转开腹率和并发症发生率。结果:研究组手术时间和肠鸣音恢复时间均短于对照组,术中出血量低于对照组,差异有统计学意义(P<0.05);两组并发症发生率、术中转开腹率、淋巴结清除数和住院时间比较,差异均无统计学意义(P>0.05)。结论:尾侧背侧入路腹腔镜右半结肠癌根治术治疗右半结肠癌患者可缩短手术时间和肠鸣音恢复时间,以及减少术中出血量。

Objective:To compare effects of laparoscopic radical resection of right colon cancer through caudal dorsal approach and caudal ventral approach.Methods:67 patients with right colon cancer were selected as the research objects,and were divided into study group(n=33)and control group(n=34)according to the random number table method.Both groups underwent laparoscopic radical resection of right colon cancer.The control group adopted the caudal ventral approach(classical midline approach),while the study group adopted the caudal dorsal approach.The level of surgical indicators,the rate of intraoperative conversion to laparotomy and the incidence of complications were compared between the two groups.Results:The operation time and bowel sound recovery time of the study group were shorter than those of the control group,the intraoperative blood loss was lower than that of the control group,and the differences were statistically significant(P<0.05).However,there were no significant differences in the incidence of complications,the rate of intraoperative conversion to laparotomy,the number of lymph node clearances and the hospital stay between the two groups(P>0.05).Conclusions:The laparoscopic radical resection of right colon cancer through caudal ventral approach can shorten the operation time and bowel sounds recovery time,and reduce intraoperative blood loss.