摘要
目的探讨腹腔镜与开腹全结肠系膜切除(CME)术治疗右半结肠癌的临床疗效。方法回顾性分析2011年3月-2012年7月期间在该科因腹部右半结肠癌行CME手术患者的临床资料。从行腹腔镜治疗患者中随机抽取44例(腹腔镜组),行开腹CME术患者中随机抽取40例(开腹组)。通过临床观察与随访评测比较两组患者手术相关指标、切除标本长度、淋巴结清扫数目、术后随访评测5年局部复发率及5年生存率等情况。结果腹腔镜组患者术中出血量、术后住院时间、术后引流时间及肛门排气时间均小于开腹手术组,差异有显著性(P<0.05);两组患者手术时间比较,差异无显著性(P﹥0.05)。两组患者手术切除标本长度和平均淋巴结清扫数目比较,差异无显著性(P﹥0.05)。两组患者术后5年局部复发率(4.54%与2.5%)及术后5年生存率比较(86.36%与85%),差异无显著性(P﹥0.05)。结论腹腔镜下CME术治疗右半结肠癌安全可行,疗效确切。
[ Objective ] To evaluate the clinical efficacy of laparoscopic versus complete mesocolic excision for right colon cancer. [ Methods ] Eighty-four cases undergoing laparoscopie and open complete mesoeolic excision for right colon cancer from March 2011 to July 2012 were divided into laparoseopie group （44 cases） and laparotomy group （40 cases）. The surgery-related indicators, resected specimen length, systemic lymph node dissection, 5-year local recurrence rate and 5-year survival rate were observed and compared through clinical observation and followup of the two groups to evaluate the effect of both surgical approaches. [Results] The operative bleeding, postoperative hospitalization time, postoperative drainage time and anal exsufflation time in laparoscopic group were respectively lower than those of laparotomy group. The difference was statistically significant （P 〈0.05）. The operating time in laparoscopie group was （147.43±15.63） and （150.62±18.74） in laparotomy group, however, the difference was not statistically significant （P 〉0.05）. The resected specimen length （21.63 ±4.2） vs （22.48 ±4.5） and number of systemic lymph node dissection （10.6±3.5） vs （11.5±4.0） were compared between two groups, however, the difference were not statistically significant （P 〉0.05）. The 5-year local recurrence rate （4.54% vs 2.5%） and 5-years survival rate （86.36% vs 85%） in laparoseopic group were compared to those of laparotomy group （P 〉0.05）. [ Conclusion ] Laparoscopic management of CME operation for right colon cancer is safe, feasible and effective.
出处
《中国内镜杂志》
北大核心
2015年第5期475-478,共4页
China Journal of Endoscopy
