摘要
目的比较老年右半结肠癌患者行腹腔镜完整结肠系膜切除术(CME)与腹腔镜传统结肠癌根治术的近期疗效。方法回顾性分析2015年1月至2017年6月57例老年右半结肠癌患者的临床资料,根据手术方式分为CME组(31例)和传统组(26例)。采用SPSS22.0软件对所有临床数据进行统计学分析,两组患者淋巴结清扫数量、围手术期相关指标等计量资料以(x珋±s)表示,采用独立样本t检验;术后并发症发生率等组间比较采用χ2检验,均以P<0.05为差异有统计学意义。结果 CME组患者淋巴结清扫数目及阳性淋巴结数分别为(23.2±4.8)枚和(4.6±0.7)枚,明显多于传统组的(17.2±3.3)枚和(3.3±0.4)枚,差异有统计学意义(P<0.05);两组患者手术时间、术中出血量、切除标本长度、术后首次通气时间、平均住院时间及术后并发症发生率比较,差异均无统计学意义(P>0.05)。结论腹腔镜完整结肠系膜切除术治疗老年右半结肠癌是安全可行的,术中淋巴结清扫更加彻底,且不增加手术风险和术后并发症发生率,值得在临床中进一步推广应用。
Objective To compare the short-term clinical outcome of laparoscopic complete mesocolic excision （CME） and traditional laparoscopic radical resection in treating elderly patients with right colon cancer. Methods From January 2015 to June 2017, a retrospective analysis was performed in 57 elderly patients with right colon cancer, while 31 cases in CME group and 26 cases in traditional group. Statistical analysis were performed by using SPSS22.0 software. Harvested lymph nodes and perioperative indicators were expressed as mean±standard deviation （x ±s） and were examined by using t test. Post-operative complication rate was examined by using Chi-square test. A P value 〈0.05 was considered as significant difference. Results The number of removed lymph nodes and positive lymph nodes in CME group were （23.2±4.8） and （4.6±0.7） were significantly more than that （17.2±3.3） and （3.3± 0.4） in traditional group; There were no difference between two groups in terms of operation time, intraoperative blood loss, resected specimen length, first flatus time, average hospitalization time and postoperative complication rate （ P〉0.05）. Conclusion Laparoscopic complete mesocolic excision in treating the elderly patients with right colon cancer is feasible and safe, with advantage of more extensive lymph node dissection, without increasing surgical risks and postoperative complications, which is worthy of clinical promotion.
作者
董昌利
刘延锋
王铎
Dong Changli;Liu Yanfeng;Wang Duo(Department of General Surgery,the Second Affiliated Hospital of Xi＇an Medical University,Shaanxi 710038,China)
出处
《中华普外科手术学杂志（电子版）》
2018年第5期404-406,共3页
Chinese Journal of Operative Procedures of General Surgery(Electronic Edition)
基金
陕西省教育厅专项科研计划项目(No.15JK1626)~~
