中国当代医药2025，Vol.32Issue(4)：71-74,4.DOI:10.3969/j.issn.1674-4721.2025.04.15
尾内侧中间联合入路腹腔镜下根治术治疗右半结肠癌的效果
Effect of laparoscopic radical rectectomy of right-sided colon cancer via medial caudal combined intermediate approach
摘要
Abstract
Objective To investigate the effect of laparoscopic radical rectectomy(LRR)of right-sided colon cancer(RCC)via medial caudal combined intermediate approach.Methods A total of 60 patients with RCC admitted to People's Hospital of Yingde City Guangdong Province from January 2023 to September 2024 were selected as the research objects.According to the random number table method,they were divided into intermediate group(30 cases)and combined approach group(30 cases).Both groups were treated with LRR.The combined approach group was treated with medial caudal combined intermediate approach,and the intermediate group was treated with intermediate approach.The perioperative indicators,tumor markers(carcinoembryonic antigen[CEA],carbohydrate antigen 125[CA125],carbohydrate antigen 19-9[CA19-9])and complications were compared between the two groups.Results The hospital stay([7.41±1.34]d),postoperative feeding time([3.15±0.29]d),operation time([151.33±10.48]min),postoperative exhaust time([2.86±0.27]d)in the combined approach group were shorter than those in the intermediate group,the intraoperative blood loss([41.87±3.97]ml)was less than that in the intermediate group,and the differences were statistically significant(P＜0.05).There were no significant differences in the conversion rate and the number of lymph node dissection between the two groups(P＞0.05).Two weeks after operation,the levels of CEA,CA125 and CA19-9 in the two groups were lower than those before operation,and the levels of CEA,CA125 and CA19-9 in the combined approach group were lower than those in the intermediate group,and the differences were statistically significant(P＜0.05).There was no significant difference in the total incidence of complica-tions between the two groups(P＞0.05).Conclusion LRR via medial caudal combined intermediate approach can reduce surgical trauma,shorten the recovery time of patients,and improve the level of tumor markers for RCC.关键词
右半结肠癌/中间入路/腹腔镜下根治术/尾内侧中间联合入路Key words
Right-sided colon cancer/Intermediate approach/Laparoscopic radical rectectomy/Medial caudal combined intermediate approach分类
医药卫生引用本文复制引用
梁涛,陈学文,张继东..尾内侧中间联合入路腹腔镜下根治术治疗右半结肠癌的效果[J].中国当代医药,2025,32(4):71-74,4.基金项目
广东省清远市科技计划项目(230906208722780). （230906208722780）
