实用医学杂志2016，Vol.32Issue(11)：1819-1822,4.DOI:10.3969/j.issn.1006-5725.2016.11.028
腹腔镜辅助右半结肠癌根治术与开放手术的临床应用比较
The efficacy of laparoscopic-assisted hemicolectomy versus that of open hemicolectomy for right colon carcinoma
摘要
Abstract
Objective To compare the efficacy of laparoscopic-assisted hemicolectomy with that of open hemicolectomy for right colon carcinoma and to explore the safety and effectiveness of the formor procedure. Methods The clinical data on 46 patients who had undergone laparoscopic-assisted hemicolectomy and 68 patients who had received open hemicolectomy between December 2009 and December 2013 in our department were retrospectively analyzed. Length of postoperative hospital stay, surgical duration, amount of intraoperative blood loss, number of lymph node dissection, time to postoperative anal exhaust, surgical costs, postoperative complications, and survival rate were compared between the two groups. Results There were no statistical differences between the two grounps in gender, age, body mass index, pathological typing, depth of invasion, and total number of lymph node dissection. Length of hospital stay was 6.84 days in the group of laparoscopic-assisted hemicolectomy and 11.72 days in the group of open hemicolectomy , with a statistical significance. Surgical duration and treatment costs did not differ significantly between the two groups; while amount of intraoperative blood loss (76.63 mL vs. 141.5 mL) and time to postoperative anal exhaust differed significanly. Conclusions Laparoscopic-assisted hemicolectomy is safe and effective for treatment of colon cancer , It has advantages of small trauma, rapid postoperative recovery, and a nice-looking surgical incision.关键词
腹腔镜/开放/右半结肠癌/临床运用Key words
Laparoscopy/Open surgery/Right colon carcinoma/Clinical application引用本文复制引用
杨世斌,韩方海,肖隆斌,李明哲,黎文峰,何裕隆..腹腔镜辅助右半结肠癌根治术与开放手术的临床应用比较[J].实用医学杂志,2016,32(11):1819-1822,4.基金项目
国家卫生计生委医药卫生科技发展项目（编号W2014RQ06）；黄埔区科技计划项目 （）
