论文部分内容阅读
目的比较完整结肠系膜切除(CME)与传统手术在右半结肠切除术后并发症、住院时间、肿瘤距离结扎血管根部距离及淋巴结清除量方面的差别。方法回顾性分析2011年1月—2012年1月在蚌埠医学院第一附属医院胃肠外科接受CME手术患者28例,传统手术患者20例的临床病理资料。结果 CME手术组淋巴结清除量明显多于传统手术组(中位数,13枚vs.10枚,P<0.05),肿瘤距离结扎血管根部距离CME手术组亦优于传统手术组(中位数,9.05 cm vs.7.50 cm,P<0.01),在并发症及住院时间方面2组差异无统计学意义(P>0.05)。结论CME手术组与传统手术组比较提高了手术质量,并没有增加并发症。
Objective To compare the differences of complications after complete resection of traditional mesocolon (CME) versus conventional surgery in patients with right-sided colectomy, length of stay, tumor distance from the root of the ligation vessel and lymph node clearance. Methods The clinical and pathological data of 28 patients undergoing CME surgery and 20 patients undergoing conventional surgery at the Department of Gastrointestinal Surgery, the First Affiliated Hospital of Bengbu Medical College from January 2011 to January 2012 were retrospectively analyzed. Results In the CME group, the lymph node clearance was significantly more than that in the conventional surgery group (median, 13 vs 10, P <0.05). The distance from the vascular root in the CME group was also significantly higher than that in the CME group (median, 9.05 cm vs.7.50 cm, P <0.01). There was no significant difference in complication and hospital stay between the two groups (P> 0.05). Conclusion Compared with the traditional operation group, the CME operation group improved the operation quality and did not increase the complications.