目的观察腹腔镜右半结肠切除术在高危结肠癌中的应用效果。方法100例高危结肠癌患者,根据不同手术方式分为研究组与对照组各50例。研究组行腹腔镜右半结肠切除术治疗,对照组行传统开腹手术治疗。比较两组患者手术效果、术后并发症发生情况。结果两组手术时间、淋巴结清除数量比较,差异均无统计学意义(均P>0.05);研究组切口长度、术中出血量、术后住院时间、引流时间、排气时间及术后并发症发生率均短于或低于对照组(均P<0.05)。结论腹腔镜右半结肠切除术治疗高危结肠癌切口小,术中出血量及术后并发症少,可促进患者术后胃肠功能恢复。
ObjectiveTo observe the efficacy of laparoscopic right hemicolectomy applied to high-risk colon cancer. MethodsA total of 100 patients with high-risk colon cancer were divided into study group and control group according to different surgical methods, with 50 cases in each group. The study group and control group were treated by laparoscopic right hemicolectomy and traditional laparotomy respectively. The operative efficacy and incidence of postoperative complications were compared between the two groups. ResultsThere were no significant differences in the duration of operation and number of removed lymph nodes between the two groups (all P>0.05). The incision length, intraoperative blood loss, postoperative hospital stay, duration for drainage, duration for anal exhaust and incident rate of postoperative complications in the study group were shorter or lower than those in the control group (all P<0.05). ConclusionFor treating high-risk colon cancer, laparoscopic right hemicolectomy achieves smaller incision, less intraoperative bleeding and postoperative complications, and can promote the postoperative gastrointestinal function recovery of patients.