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目的比较腹腔镜辅助右半结肠切除术和开放右半结肠切除术的临床效果,探讨前者的安全性和有效性。方法分析同期30例腹腔镜辅助右半结肠切除术(腔镜组)和28例传统开放右半结肠切除术(开腹组)患者的临床资料,比较两组的手术时间、术中出血量、清除淋巴结数、术后肛门排气时间、术后住院时间、术后并发症等。结果两组的手术时间、清除淋巴结数及术后并发症发生率差异无统计学意义;腔镜组出血量(47.1±45.8)ml明显少于开腹组的(90.3±50.7)ml,术后肛门排气时间(24.3±7.9)h小于开腹组的(63.2±16.1)h,术后住院时间(7.1±1.2)d短于开腹组的(12.5±2.8)d,差异均有统计学意义(P<0.05)。结论腹腔镜辅助右半结肠癌根治术安全有效,符合微创手术切口小、患者痛苦轻、康复快的优点及肿瘤根治原则。
Objective To compare the clinical efficacy of laparoscopic-assisted right-sided colectomy and open right hemilaminectomy to explore the safety and efficacy of the former. Methods The clinical data of 30 patients undergoing laparoscopic right colon resection (laparoscopic group) and 28 patients undergoing open right colon resection (open group) during the same period were analyzed. The operation time, blood loss, Clear the number of lymph nodes, postoperative anal exhaust time, postoperative hospital stay, postoperative complications. Results There was no significant difference in the operation time, the number of lymph nodes and the incidence of postoperative complications in the two groups. The amount of bleeding in the endoscopic group (47.1 ± 45.8) ml was significantly less than that in the open group (90.3 ± 50.7) ml, The time of anal exhaust (24.3 ± 7.9) h was less than that of the open group (63.2 ± 16.1) h, the length of postoperative hospital stay (7.1 ± 1.2) d was shorter than that of the open group (12.5 ± 2.8) d, the differences were statistically significant Significance (P <0.05). Conclusions Laparoscopic assisted radical resection of right colon cancer is safe and effective, which is in line with the advantages of minimally invasive surgery, less pain, faster recovery and radical tumor rule.