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目的探讨不同入路腹腔镜根治术治疗右半结肠癌的临床效果。方法 120例右半结肠癌的患者,以手术入路不同分为甲组和乙组,各60例。甲组采取中间入路,乙组采取侧方入路,而后比较两组患者各项手术指标和并发症的发生率。结果甲组手术时间(117.4±18.6)min,术中出血量(52.7±11.4)ml,肠功能恢复时间(1.8±0.3)d,均优于乙组的(133.4±20.3)min、(101.4±10.6)ml、(2.4±0.8)d,差异有统计学意义(P<0.05)。甲组发生切口感染2例、肺部感染2例、尿路感染1例,并发症的发生率为8.33%;乙组发生切口感染1例、肺部感染2例、尿路感染3例,并发症的发生率为10.00%,两组患者并发症的发生率比较,差异无统计学意义(P>0.05)。结论对于右半结肠癌的患者采用腹腔镜中间入路效果较好,利于患者疾病的恢复,两种方法并发症的发生率无较大差异,临床治疗当中可酌情选择手术入路。
Objective To investigate the clinical effects of laparoscopic radical mastectomy for right colon cancer. Methods A total of 120 patients with right colon cancer were divided into two groups according to different surgical approaches: group A and group B, with 60 cases in each group. Group A to take the middle of the road, Group B to take the side of the road, and then compare the two groups of patients with various surgical indicators and the incidence of complications. Results The mean operative time (117.4 ± 18.6) min, blood loss (52.7 ± 11.4) ml, and bowel function recovery time (1.8 ± 0.3) days in group A were significantly higher than those in group B (133.4 ± 20.3) min and (101.4 ± 10.6) ml, (2.4 ± 0.8) d, the difference was statistically significant (P <0.05). In group A, there were 2 cases of incisional infection, 2 cases of lung infection and 1 case of urinary tract infection. The incidence of complications was 8.33%. In group B, 1 case of incisional infection, 2 cases of pulmonary infection and 3 cases of urinary tract infection were complicated The incidence of disease was 10.00%. There was no significant difference in the complication rates between the two groups (P> 0.05). Conclusions For the patients with right colon cancer, laparoscopic median approach is better, which is beneficial to the recovery of patients’ disease. There is no significant difference between the two methods in the incidence of complications. During the course of clinical treatment, surgery may be chosen as appropriate.