入路位置对手助腹腔镜右半结肠癌根治术的效果影响

摘要

目的 探讨不同入路位置对手助腹腔镜右半结肠癌根治术的效果.方法 以我院2011年1月至2013年1月收治的行右半结肠癌根治术的80例患者为研究对象,随机分为观察组和对照组,观察组采用中间入路方式,对照组采用外侧入路方式,比较两组患者的手术进行情况、术后康复情况和手术效果.结果 观察组患者在手术时间、术后肠功能恢复时间、术后住院时间及并发症发生率方面与对照组比较差异无统计学意义(P＞0.05),在术中出血量方面高于对照组(P＜0.05).观察组患者术后肿瘤分期情况优于对照组,淋巴结清扫率高于对照组(72.5％ vs45.0％),差异有统计学意义(P＜0.05).结论 在临床技术和环境条件允许的情况下,中间入路方式并不会对患者造成更大的身体损伤,应以中间入路作为手助腹腔镜右半结肠根治术的主要入路方式.%Objective To analyze the effects of different surgical approach in the laparoscopic for the right hemicolon carcinoma radical operation.Methods 80 patients with the need of laparoscopic for the right hemicolon carcinoma radical operation were divided into observation group and control group.The observation group used middle approach and the control group was given outboard approach.The difference of surgery,postoperative recovery and surgery effect between two groups were compared.Results There was no significant difference between two groups in the field of operation time,postoperative intestinal function recovery time,postoperative hospital stay time and the incidence of complications (P ＞ 0.05).The amount of bleed in the observation group was more than that of control group,showing significant difference (P ＜ 0.05).In the comparison of postoperative neoplasm staging,lymph node dissection rate,the observation group get more positive results than those of control group (P ＜ 0.05).Conclusion It would not cause more damage using the middle approach than the outboard approach in the laparoscopic for the right hemicolon carcinoma radical operation,if the condition of clinical technology and environmental conditions are done well.