腹腔镜下右半结肠癌根治术“头侧-中央混合入路方式”近期疗效评价

发布时间：2018-03-16 03:35

本文选题：右半结肠癌　切入点：腹腔镜　出处：《肿瘤防治研究》2017年12期 　论文类型：期刊论文

【摘要】：目的探讨腹腔镜下右半结肠癌根治术"头侧-中央混合入路方式"的可行性和近期疗效。方法回顾性分析30例行腹腔镜下右半结肠癌根治术"头侧-中央混合入路方式"患者(HCMW组)和50例行腹腔镜下右半结肠癌根治术"中央入路方式"患者(CW组)的临床资料。结果 HCMW和CW组患者淋巴结清扫数分别为(21.3±8.12)个和(18.9±11.57)个,两组淋巴结清扫数目差异无统计学意义(P0.05);HCMW组出血量、手术时间显著少于CW组,且CW组术中输血病例更多(P0.05);HCWM和CW组患者术后并发症发生率和死亡率差异无统计学意义(P0.05)。结论腹腔镜下右半结肠癌根治术"头侧-中央混合入路方式"治疗右半结肠癌,安全可行,且手术方式易掌握,容易形成标准化。
[Abstract]:Objective to investigate the feasibility and short-term curative effect of laparoscopic radical resection of right colon cancer by "head-central mixed approach". Methods 30 cases of laparoscopic radical resection of right colon cancer "head-central mixed approach" were retrospectively analyzed. The clinical data of 50 patients with right colonic carcinoma undergoing laparoscopic radical resection of right colon cancer (CW group) were compared. Results the number of lymph node dissection in HCMW group and CW group were 21.3 卤8.12 and 18.9 卤11.57, respectively. There was no significant difference in the number of lymph node dissection between the two groups. There was no significant difference in the incidence and mortality of postoperative complications between the CW group and the CW group. Conclusion Laparoscopic radical resection of right colon cancer is a "combined head and central approach" for the treatment of right colon cancer. It is safe and feasible, and the operation method is easy to grasp, easy to form standardization.
【作者单位】：福建医科大学附属第一医院胃肠外科二区;福建医科大学消化道恶性肿瘤教育部重点实验室;
【基金】：福建省自然科学基金(2017J01279) 福建省财政厅卫生专项(BPB-yjx2016) 国家临床重点专科建设项目(普通外科)
【分类号】：R735.35

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