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目的探讨腹腔镜下右半结肠癌完整结肠系膜切除术(complete mesocolic excision,CME)的可行性与安全性。方法回顾性分析43例腹腔镜下右半结肠癌根治术中行CME治疗患者的临床资料。结果 43例均经中间入路完成腹腔镜下CME+右半结肠癌根治术,手术顺利,无副损伤发生;术中出血量(96±28)mL,手术时间(145±23)min;手术质量等级评估C级41例,B级2例;术后排气时间2.5~4.0d,住院时间11~16d;中位淋巴结清扫数为18个,Ⅲ期患者系膜根部淋巴结阳性率为19.23%(5/26);术后出现并发症4例。结论腹腔镜下右半结肠癌根治术中行CME安全、可行,但远期疗效有待进一步研究。
Objective To investigate the feasibility and safety of laparoscopic complete mesocolic excision (CME) of right colon cancer. Methods The clinical data of 43 patients undergoing laparoscopic radical resection of right colon cancer treated with CME were retrospectively analyzed. Results All the 43 cases underwent laparoscopic radical mastectomy with CME + right colon cancer. The operation was successful without side effects. The blood loss (96 ± 28) mL, operation time (145 ± 23) min, operation quality Grade C was 41 cases, grade B was 2 cases; postoperative exhaust time 2.5 ~ 4.0d, hospitalization time 11 ~ 16d; median lymph node clearance number 18, stage Ⅲ mesangial root node lymph node positive rate was 19.23% ( 5/26); postoperative complications occurred in 4 cases. Conclusion Laparoscopic right colon resection of CME safe, feasible, but the long-term efficacy needs further study.