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目的探讨腹腔镜右半结肠癌根治术中使用血管结扎束(Liga Sure)进行手术的效果及短期安全性评价。方法回顾性分析2013年11月至2017年2月使用血管结扎束进行的34例腹腔镜右半结肠癌根治术患者的临床资料。收集患者术中、术后资料,分析患者使用血管结扎束的效果及安全性。结果纳入的34例患者均顺利完成手术,手术时间(174.0±28.3)min,出血量(34.0±33.5)ml,无术中并发症,无损伤肠系膜上血管主干病例发生;2例患者发生乳糜漏,2例患者出现系膜破损,术后平均住院时间(6.0±4.6)d。平均获检淋巴结数量为24枚,阳性约1.2枚,共有15例患者伴有淋巴结转移。结论通过上述结果,使用Liga Sure进行的病例中无严重并发症发生,出血少,手术时间短,Liga Sure可用于腹腔镜右半结肠癌根治术的游离,短期效果及安全性均较好。
Objective To investigate the efficacy and short-term safety evaluation of laparoscopic right colon cancer with Liga Sure surgery. Methods The clinical data of 34 patients undergoing laparoscopic right colon cancer surgery from November 2013 to February 2017 with vascular ligation bundle were retrospectively analyzed. The patients’ intraoperative and postoperative data were collected to analyze the effect and safety of patients using vascular ligation bundle. Results All the 34 patients were successfully performed the operation, the operation time was (174.0 ± 28.3) min, the amount of bleeding (34.0 ± 33.5) ml, no intraoperative complications and no injury to the superior mesenteric vessels. Two patients had chylothorax , 2 cases of mesangial injury, average postoperative hospital stay (6.0 ± 4.6) d. The average number of lymph nodes examined was 24, with a positive rate of about 1.2. A total of 15 patients had lymph node metastases. Conclusion Based on the above results, no serious complications, less bleeding and shorter operative time were found in the cases treated with Liga Sure. Liga Sure could be used for the free, short-term and safe laparoscopic right colon resection.