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目的探讨腹腔镜辅助右半结肠癌根治术治疗右半结肠癌的效果。方法回顾性分析135例行腹腔镜辅助右半结肠癌根治术患者的临床资料,观察疗效。结果 120例(88.9%)患者顺利完成手术,15例(11.1%)患者中转开腹(其中10例患者回盲部肿瘤>8 cm,5例患者肿瘤侵犯十二指肠),无一例手术死亡病例。平均出血量为(112.28±4.46)ml,平均手术时间为(160.28±6.69)min。5例患者术后第2天出现肺部感染,5例患者术后第5天出现不完全性肠梗阻。随访6~36个月,其中10例患者出现双肺部转移,5例患者出现肝转移,5例患者出现腹腔内远处转移及Trocar穿刺处肿瘤种植。结论采用腹腔镜辅助右半结肠癌根治术治疗右半结肠癌,必须熟练掌握腹腔镜技术,严格掌握手术适应证,方可达到理想的效果。
Objective To investigate the effect of laparoscopic-assisted right colon cancer radical resection on right colon cancer. Methods The clinical data of 135 patients undergoing laparoscopic-assisted radical resection of right colon cancer were retrospectively analyzed. The curative effect was observed. Results Of the 120 patients (88.9%) who undergone surgery successfully, 15 (11.1%) had laparotomy (10 of them had ileocecal tumor> 8 cm and 5 had tumor invasion of the duodenum), and none of them died of surgery Case. The average bleeding volume was (112.28 ± 4.46) ml, the average operation time was (160.28 ± 6.69) min. Five patients developed pulmonary infection on the second postoperative day, and five patients had incomplete intestinal obstruction on the fifth postoperative day. Follow-up ranged from 6 to 36 months. Two lung metastases occurred in 10 patients, liver metastases in 5 patients and distant metastasis in abdominal cavity and Trocar puncture in 5 patients. Conclusion Laparoscopy assisted right colon cancer radical mastectomy in the treatment of right colon cancer must be proficient in laparoscopic techniques, strict indications of surgical indications in order to achieve the desired effect.