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目的观察腹腔镜辅助右半结肠癌全结肠系膜切除的临床疗效。方法选择2013年1月至2016年1月右半结肠癌患者96例,将其随机分为两组,每组48例。两组患者均行全结肠系膜切除术,对照组给予开腹右半结肠癌根治术,观察组借助腹腔镜开展手术。对比两组患者手术情况及并发症发生情况。结果观察组淋巴结清扫数目为(22.4±2.9)个,明显多于对照组[(16.9±2.4)个],差异有统计学意义(P<0.05);观察组术中出血量、术后排气时间等其他手术指标明显优于对照组,差异有统计学意义(P<0.05);观察组术后并发症发生率明显低于对照组,差异有统计学意义(P<0.05)。结论腹腔镜辅助右半结肠癌全结肠系膜切除可显著增强淋巴结清扫效果,预防并发症,可取得较佳的预后效果。
Objective To observe the clinical efficacy of laparoscopic-assisted total mesorectal excision of right colon cancer. Methods 96 patients with right colon cancer from January 2013 to January 2016 were selected and randomly divided into two groups (n = 48 in each group). Two groups of patients underwent total mesorectal excision, the control group was given an open radical right colon cancer, the observation group with laparoscopic surgery. Comparison of two groups of patients with surgery and complications occurred. Results The number of lymph node dissection in the observation group was (22.4 ± 2.9), which was significantly higher than that in the control group (16.9 ± 2.4), the difference was statistically significant (P0.05). The intraoperative blood loss, postoperative exhaust Time and other surgical indicators were significantly better than the control group, the difference was statistically significant (P <0.05); the incidence of postoperative complications in the observation group was significantly lower than the control group, the difference was statistically significant (P <0.05). Conclusion Laparoscopic assisted right colon cancer mesenteric resection can significantly enhance lymph node dissection, prevent complications and achieve better prognosis.