岭南现代临床外科2025，Vol.25Issue(6)：382-387,6.DOI:10.3969/j.issn.1009-976X.2025.06.006
右半结肠癌合并肠梗阻行杂交手术和开放手术的短期和长期疗效对比
Comparison of short-term and long-term curative effects of hybrid surgery and open surgery on right-sided colon cancer with intestinal obstruction
摘要
Abstract
Objective To explore and compare the short-term and long-term curative effects of hybrid surgery and open surgery on right-sided colon cancer with intestinal obstruction.Methods A total of 92 patients who underwent surgical treatment for right colon cancer with intestinal obstruction from June 2019 to June 2022 were selected and divided into an observation group(hybrid surgery,n=40)and a control group(open surgery,n=52).Perioperative indicators,complication rates,inflammatory and nutritional markers on postoperative day 1 and day 4 were compared between the two groups.The overall survival rates at 3 years postoperatively were also followed up and compared.Results The surgical time in observation group was significantly longer than that in control group(P<0.05),and the blood loss volume,pain level,first feeding time,exhaust time and hospitalization time were significantly less or shorter(P<0.05).There were no statistical differences in the incidence rates of complications between the two groups(P>0.05).At 4 days after surgery,the levels of serum inflammatory factors in observation group were significantly lower while the nutritional indexes levels were significantly higher compared to control group(P<0.05).At 3 years of follow-up after surgery,no statistical difference was found in the overall survival rate between the two groups(P>0.05).Conclusion Hybrid surgery takes a long time,and has fast postoperative recovery and improved postoperative inflammatory status and nutritional indexes,and there are no significant differences in the major complications at 30 days after surgery and long-term overall survival rate.关键词
右半结肠癌/肠梗阻/杂交手术/开放手术/短期疗效/长期疗效Key words
right-sided colon cancer/intestinal obstruction/hybrid surgery/open surgery/short-term curative effect/long-term curative effect分类
医药卫生引用本文复制引用
杨愈刚,罗立雄,郑枝忠,胡锦辉..右半结肠癌合并肠梗阻行杂交手术和开放手术的短期和长期疗效对比[J].岭南现代临床外科,2025,25(6):382-387,6.基金项目
福建医科大学启航基金资助项目(2021QH1259) （2021QH1259）
