尾侧联合头侧入路在腹腔镜右半结肠癌根治术中的临床应用价值

The Clinical Application Value of Caudal Combined with Cephalic Approach in Laparoscope Assisted Radical Resection of Right Helicolon Cancer

目的探讨尾侧联合头侧入路在腹腔镜右半结肠癌根治术中的临床应用价值。方法回顾性分析2016年7月至2019年5月在医院行腹腔镜右半结肠癌根治术的90例患者的临床资料,根据不同的手术入路方式将其分为试验组(47例)与对照组(43例)。试验组采用尾侧联合头侧入路,对照组采用中间入路,比较两组的治疗效果。结果所有手术均顺利完成;试验组手术时间为(148.83±7.66)min,短于对照组的(163.00±5.84)min,术中出血量为(46.43±5.13)ml,少于对照组的(70.19±5.97)ml,术后并发症发生率为6.38%,低于对照组的20.93%,差异均有统计学意义(P<0.05);两组住院时间、术后淋巴结清扫数及术后TNM分期比较,差异均无统计学意义(P>0.05)。结论尾侧联合头侧入路在腹腔镜右半结肠癌根治术中的应用效果明显,可缩短手术时间,减少术中出血量,降低术后并发症发生率,利于患者术后恢复。

Objective The clinical application value of caudal combined with cephalic approach in laparoscope assisted radical resection of right helicolon cancer was explored. Methods The clinical data of 90 cases who underwent laparoscope assisted radical resection of right hemicolon cancer in the hospital from July 2016 to May 2019 were analyzed retrospectively. According to different operative approaches, they were divided into a test group(47 cases) and a control group(43 cases). The caudal combined with cephalic approach was adopted in the test group, while the intermediate approach was adopted in the control group. The therapeutic effects were compared between the two groups. Results All the operations were successfully completed;The operation time [(148.83±7.66) min] of the test group was shorter than that of the control group [(163.00±5.84) min], and the intraoperative blood loss [(46.43±5.13) ml] of the test group was less than that of the control group [(70.19±5.97) ml], and the incidence of postoperative complications in the test group was 6.38%, which was lower than that in the control group(20.93%), and the differences were statistically significant(P<0.05);There was no significant difference between the two groups in the length of hospital stay, the number of lymphadenectomy and TNM stage(P>0.05).Conclusion The application effects of caudal combined with cephalic approach in laparoscope assisted radical resection of right helicolon cancer were obvious, with operation time shortened, intraoperative blood loss and the incidence of postoperative complications reduced, and thus facilitating the recovery of patients.