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目的探讨腹腔镜辅助(LAS)与手辅助腹腔镜(HALS)右半结肠切除术的应用效果。方法回顾性分析河南省人民医院96例因结肠癌行右半结肠切除术的患者,其中LAS 54例,HALS 42例,比较两种手术方式中手术时间、术中出血量、术中中转开腹例数、术后切口长度、术后使用止痛药情况、术后排气时间及住院时间、清扫淋巴结数目、手术并发症等情况。结果 LAS组手术时间明显长于HALS组,但术中出血量明显少于HALS组,手术切口LAS组优于HALS组,以上指标差异有统计学意义(P<0.05)。在术中中转开腹例数、术后使用止痛药情况、术后排气时间及住院时间、清扫淋巴结数目、手术并发症等方面无明显差异(P>0.05)。结论 LAS与HALS在右半结肠切除术中短期效果无明显差异,各有优缺点,两种手术方式手术医师根据自身情况均可选择。
Objective To investigate the effect of laparoscopic assisted (LAS) and hand assisted laparoscopic (HALS) right hemilaminectomy. Methods A retrospective analysis of 96 patients with right colon cancer undergoing colon cancer in Henan Provincial People’s Hospital, including 54 cases of LAS and 42 cases of HALS. The operative time, intraoperative blood loss, intraoperative transit laparotomy Number of cases, length of postoperative incision, postoperative pain medication, postoperative exhaust time and hospital stay, the number of lymph nodes dissection, surgical complications and so on. Results The operation time of LAS group was significantly longer than that of HALS group, but the amount of bleeding during operation was significantly less than that of HALS group. The surgical incision LAS group was superior to HALS group. The above indexes had statistical significance (P <0.05). There were no significant differences (P> 0.05) in the number of cases of laparotomy during operation, pain medication after operation, postoperative exhaust time and length of hospital stay, the number of lymph nodes dissection and surgical complications. Conclusions LAS and HALS have no obvious short-term effect in right hemicolectomy, each has its own advantages and disadvantages. Both operatives can choose according to their own situation.