Objective To investigate the effect of operation path line based on the three surgical plane of the right colon cancer laparoscopic complete mesorectal excision. Method 80 cases of right colon cancer patients treated in our hospital from October 2012 to October 2015 were selected as the objects and they were randomly divided into control group and observation group, 40 cases in each group. Control group patients were treated with traditional colon cancer radical operation, observation group patients were given the three surgical planes' location, composition and adjacent relationship of laparoscopic complete mesorectal excision for right-sided colon cancer, and based on the operation path. Observed and compared two groups of patients with perioperative surgery, postoperative quality of life and complications. Result The intraoperative bleed of observation group patients was less than that of control group (P < 0.05), hospitalization time was shorter than that of control group (P < 0.05), the operation time was longer than that of control group (P < 0.05), the number of lymph node was more than that of control group (P < 0.05); there was no significant difference between the two groups of patients with postoperative exhaust time (P > 0.05). 1 year after operation, the two groups of patients withSF-36 scale of each dimension factor scores were significantly higher than before treatment (P < 0.05). The score of each dimension of observation group was significantly higher than that of control group (P < 0.05). The recurrence rate after 1 year of observation group was significantly lower than that of control group (P < 0.05), two groups of patients with wound infection, intestinal obstruction, anastomotic leakage and postoperative 1 year the total number of deaths showed no significant differences (P > 0.05). Conclusion Operation path line based on the three surgical plane of the right colon cancer laparoscopic complete mesorectal excision has good therapeutic effect, which can obviously improve patients quality of life.%目的 探讨基于3个外科平面的手术路径行右半结肠癌腹腔镜全结肠系膜切除术的临床效果.方法 选择2012年10月至2015年10月于本院治疗的80例右半结肠癌患者为研究对象,并将其随机分为对照组和观察组,每组各40例.对照组患者采用传统结肠癌根治术治疗,观察组患者给予基于3个外科平面(升结肠系膜后叶-肾前筋膜间隙、升结肠系膜后叶-胰头十二指肠筋膜前叶间隙、右半横结肠系膜后叶-右侧胃背系膜间隙)的手术路径行右半结肠癌腹腔镜全结肠系膜切除术.观察并比较两组患者围术期手术情况、术后生活质量及并发症发生情况.结果 观察组患者术中出血量少于对照组(P<0.05),住院天数短于对照组(P<0.05),手术时间长于对照组(P<0.05),淋巴结清扫数目多于对照组(P<0.05);两组患者术后排气时间比较无显著差异(P>0.05).术后1年,两组患者生活质量各维度因子评分较术前均显著增加(P<0.05),观察组患者生活质量各维度因子评分均显著高于对照组(P<0.05).观察组患者术后1年复发率显著低于对照组(P<0.05),两组患者切口感染、肠梗阻、吻合口瘘发生率及术后1年总死亡例数比较均无显著差异(P>0.05).结论 基于3个外科平面的手术路径行腹腔镜全结肠系膜切除术对右半结肠癌具有较好的治疗效果,可明显提高患者术后生活质量.
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