腹腔镜右半结肠切除术与开腹右半结肠切除术治疗右半结肠癌的效果比较OA

Objective To compare the clinical effects of laparoscopic right hemicolectomy and open right hemicolectomy in the treatment of right colon cancer.Methods 80 patients with right colon cancer were divided into reference group(n=40,open right hemicolectomy)and study group(n=40,laparoscopic right hemicolectomy)according to different surgical methods.The operation related indicators,T lymphocyte subsets and prognosis were compared between the two groups.Results The operation time of the study group was longer than that of the reference group,the intraoperative blood loss was less than that of the reference group,and the postoperative exhaust time,bowel sound recovery time,postoperative feeding time and hospitalization time were shorter than those of the reference group(P＜0.05).After operation,the CD3+,CD4+and CD4+/CD8+levels of the study group were higher than those of the reference group,and the CD8+level was lower than that of the reference group(P＜0.05).Following up for 6 months after surgery,the local recurrence rate and distant metastasis rate of the study group were lower than those of the reference group(P＜0.05).Conclusions Compared with open right hemicolectomy,laparoscopic right hemicolectomy has less trauma in the treatment of right colon cancer,which can promote the recovery of patients as soon as possible,reduce the impact on the immune function of patients,and reduce the local recurrence rate and metastasis rate.