摘要
目的比较腹腔镜右半结肠切除术与传统开腹右半结肠切除术治疗结肠癌的临床疗效。方法将本院收治的114例右半结肠癌患者随机分为A组与B组,A组患者给予腹腔镜右半结肠切除术,B组患者给予开腹右半结肠切除术。治疗完成后比较两组患者手术时间、术中出血量、术后排气时间、平均住院时间等手术指标,以及切口感染等术后并发症的发生率,随访两年后比较两组患者的复发转移率。结果两组患者除手术时间、复发转移率无显著差异外(P>0.05),A组术中出血量、术后排气时间、平均住院时间、并发症的发生率显著低于B组(P<0.05)。结论右半结肠切除术采用腹腔镜具有微创、出血少、愈合快的优点,且能够达到相同的疗效,值得临床推广应用。
Objective To compare the clinical efficacy of laparoscopic and open abdominal right hemicolectomy for righ colon cancer. Methods 114 cases of right colon cancer in our hospital were randomly divided into group A and group B, and they were treated with laparoscopic right hemicoleetomy and open abdominal right hemicolectomy separately, to compare the surgery indicators such as operative time, blood loss, postoperative annus exhaust time, the average duration of hospitalization, the incidence of postoperative complications. The recurrence rate was compared between the two groups after two years of follow-up. Results The surgery time, recurrence rate between the two groups of patients had no statistically significant difference （P 〉0.05）, while blood loss, postoperative annus exhaust time, the average duration of hospitalization, incidence of complications of group A were significantly lower than those of group B （P 〈0.05）. Conclusions Laparoscopic right hemicolectomy is minimally invasive, less bleeding, quickly healing, and can achieve the same effect, which is worthy of clinical application.
出处
《临床医学工程》
2013年第1期37-38,共2页
Clinical Medicine & Engineering
