论文部分内容阅读
目的探讨腹腔镜辅助右半结肠癌完整系膜切除术的临床应用价值。方法回顾性分析我院胃肠外科2010年11月-2012年11月70例腹腔镜辅助完整右半结肠系膜切除术的临床资料。结果 70例均顺利完成手术,无中转开腹。平均腔内手术时间105.26±15.36min;平均术中出血量90.05±35.21ml;平均检出淋巴结数21.4枚/例;术后并发症率7.14%(5/70),其中炎性肠梗阻2例,肺部感染1例,术后切口感染2例,均未出现吻合口瘘及出血。结论腹腔镜辅助右半结肠癌完整系膜切除术并常规根部离断胃网膜右动脉及结肠中血管安全、有效、可行,术后短期效果良好,是否改善远期疗效有待对照研究证实。
Objective To investigate the clinical value of laparoscopic-assisted right-sided colon cancer with complete mesorectal excision. Methods Retrospective analysis of 70 cases of laparoscopic assisted right right partial mesocolic resection in our hospital from November 2010 to November 2012 were retrospectively analyzed. Results 70 cases were successfully completed surgery, no transit laparotomy. The mean operative time was 105.26 ± 15.36min. The average blood loss was 90.05 ± 35.21ml. The average number of detected lymph nodes was 21.4 pieces per case. The postoperative complication rate was 7.14% (5/70), including 2 cases of inflammatory intestinal obstruction , 1 case of pulmonary infection, 2 cases of postoperative wound infection, no anastomotic fistula and bleeding. Conclusions Laparoscopic assisted right mesocolon excision of right colon cancer and routine rupture of the proximal gastric artery and colon blood vessels are safe, effective and feasible. Short-term postoperative effects are good, and whether long-term efficacy is improved or not is subject to controlled studies.