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腹腔镜辅助右半结肠癌根治术与开腹右半结肠癌根治术的对比研究

常学忠

中国现代医生Issue(18):113-115,3.
中国现代医生Issue(18):113-115,3.

腹腔镜辅助右半结肠癌根治术与开腹右半结肠癌根治术的对比研究

Comparative study of laparoscopic-assisted radical resection and open radical resection of right colon cancer

常学忠1

作者信息

  • 1. 郑州市第三人民医院普外科,河南郑州 450000
  • 折叠

摘要

Abstract

Objective To compare the application value of laparoscopic-assisted radical resection of right colon cancer and open radical resection of right colon cancer. Methods Fifty-three patients receiving laparoscopic-assisted radical resection of right colon cancer were selected as the laparoscopy group and fifty-two patients receiving open radical re-section of right colon cancer were selected as the laparotomy group. The operative situation, postoperative functional re-covery situation, postoperative complications, postoperative local recurrence and metastasis situation of the two groups were compared. Results The laparoscopy group had less (shorter) intraoperative blood loss, intestinal exhaust time and length of hospital stay than the laparotomy group(P<0.01); The incidence of postoperative complications of the la-paroscopy group was 9.43%, which was significantly lower than the 30.77%of the laparotomy group(P<0.01);The local recurrence rate and metastasis rate of the laparoscopy group were 7.55% and 3.77%, which were not significantly dif-ferent from the 15.38%and 13.46%of the laparotomy group (P>0.05). Conclusion Compared to open radical resection of right colon cancer, laparoscopic-assisted radical resection of right colon cancer has the advantages of less intraoper-ative blood loss, faster recovery of bowel function, lower incidence of complications and shorter hospital stay, which is in line with radical treatment principles of tumor and worthy of clinical large-sample and long-term follow-up verifica-tion on surgical methods and effects.

关键词

腹腔镜辅助右半结肠癌根治术/开腹右半结肠癌根治术/手术并发症

Key words

Laparoscopic-assisted radical resection of right colon cancer/Open radical resection of right colon can-cer/Surgical complication

分类

医药卫生

引用本文复制引用

常学忠..腹腔镜辅助右半结肠癌根治术与开腹右半结肠癌根治术的对比研究[J].中国现代医生,2014,(18):113-115,3.

中国现代医生

1673-9701

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