探讨腹腔镜脐下褶壁入路行开放右半结肠切除术在结肠癌中的应用及效果

Application and Effect of Open Right Hemicolectomy via Laparoscopic Infraumbilical Fold Approach in the Treatment of Colon Cancer

目的探讨腹腔镜脐下褶壁入路行开放右半结肠切除术在结肠癌中的具体应用和治疗的效果。方法随机抽取2012年4月—2013年11月诊治的60例结肠癌患者,分为研究组和对比组。研究组30例患者,对比组30例患者。其中对比组使用传统开腹术进行治疗,而研究组使用腹腔镜脐下褶壁入路行开放右半结肠切除术进行治疗,分析两种手术方法的效果。结果手术过程中没有出现中转开腹和患者死亡的情况,手术效果良好;研究组患者的术中出血量、手术时间、肛门排气时间、切口长度、术后住院时间都显著优于对比组,两者间的差异有统计学意义(P<0.05)。结论将腹腔镜脐下褶壁入路行开放右半结肠切除术应用于结肠癌的治疗当中,具有治疗效果好、安全性高以及稳定性强等特点,同时手术切口较小,可以减少患者手后的疼痛感,有利于提高患者的生活质量,值得临床上大量推广使用。

Objective To investigate the application and effect of open right hemicolectomy via laparoscopic infraumbilical fold approach in the treatment of colon cancer. Methods Sixty cases with colon cancer diagnosed and treated between April2012 and November 2013 were randomly selected and divided into the study group and the control group with 30 cases in each. Patients in the control group were treated by the traditional open operation, while those in the study group were treated by open right hemicolectomy via laparoscopic infraumbilical fold approach. And the effect of the two surgical methods was analyzed. Results There were no patients transferred to the open operation and died during the surgery, the surgical effect was good. Compared with the control group, the study group had much less intraoperative blood loss, much shorter duration of procedure, anal exhaust time, length of incision and postoperative length of stay, the differences between the two groups were statistically significant(P<0.05). Conclusion Open right hemicolectomy via laparoscopic infraumbilical fold approach applied to the treatment of colon cancer has good curative effect, high safety and fine stability as well as small incision, which can also reduce the postoperative pain, and is conducive to improving the quality of life, so it is worthy of clinical popularization and use.