摘要
目的探讨完整结肠系膜切除术(CME)治疗结肠癌的淋巴结清扫效果和短期疗效。方法回顾性分析56例CME结肠癌根治术患者(CME组)及49例传统结肠癌根治术患者(对照组)的临床资料,比较两组患者的淋巴结清扫效果和短期疗效。结果 CME组淋巴结清扫数为(22.6±8.9)枚,对照组为(15.2±6.3)枚,CME组明显多于对照组(P<0.01);两组中Ⅲ期病例阳性淋巴结清扫均数相比较,差异无统计学意义(P>0.05)。两组手术时间、术中出血量、术后排气排粪时间及术后并发症发生率相比较,差异无统计学意义(P>0.05)。结论结肠癌CME根治术增加淋巴结清扫的数量,不增加手术风险,符合肿瘤学根治的规范,术后短期疗效良好。
Objective To evaluate the lymph nodes harvest and short-term efficacy of Complete mesocolic excision（CME） in colon cancer.Methods The clinical data of 56 cases with CME radical resection （CME group）and 49 cases with traditional radical resection （control group ）were retrospectively analyzed. Lymph nodes harvest and short- term efficacy were compared between the two groups.Results Lymph nodes retrieved in the CME group（22.6±8.9）were significant more than that in the control group（15.2±6.3）（P〈0.01）. The number of positive lymph nodes for stage Ⅲ patients in two groups were not significantly different（P〉0.05）.There were no differences in intraoperative blood loss ,operation time,time to first flatus,time to first bowel movement and postoperative complications between the two groups（P〉0.05）.Conclusion CME in colon cancer can increase the number of lymph nodes harvest without increasing operational risk.It can make the operation follow tumor radical principle,and the short-term efficacy is good.
出处
《河南外科学杂志》
2014年第1期16-18,共3页
Henan Journal of Surgery
关键词
结肠肿瘤
完整结肠系膜切除术
淋巴结清扫
疗效
Colonic neoplasms
Complete mesocolic excision
Lymph node dissection efficacy
