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目的探讨利用腹腔镜治疗右半结肠癌的过程中选择中间入路法的临床效果。方法选取2010年6月至2013年6月解放军第一五二中心医院收治的56例右半结肠癌患者,将其分为对照组与观察组,每组28例。对照组仍采用传统开腹手术,观察组则在腹腔镜下行右半结肠癌根治术,并选用中间入路法,对比两组的手术效果。结果 56例患者手术均顺利,观察组术中出血量、术后排气时间与术后住院时间、术后并发症均少于对照组,差异均有统计学意义(P<0.05)。结论采用腹腔镜辅助右半结肠癌根治术选用中间入路法能获得较好的临床疗效,且具有较高的安全性。
Objective To explore the clinical effect of laparoscopic approach in the treatment of right colon cancer. Methods From June 2010 to June 2013, 56 cases of right colon cancer patients admitted to the No.152 Central Hospital of PLA were divided into control group and observation group with 28 cases in each group. The control group is still using the traditional open surgery, the observation group underwent laparoscopic right colon cancer radical surgery, and the choice of the middle approach, compared the two groups of surgical results. Results The operation of 56 patients was successful. The bleeding volume, postoperative exhaust time, postoperative hospital stay and postoperative complications in the observation group were all less than those in the control group (P <0.05). Conclusion Laparoscopic-assisted radical resection of right colon cancer using the middle approach can achieve better clinical efficacy, and has high safety.