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目的对比腹腔镜右半结肠癌D3根治术与传统开腹右半结肠癌D3根治术的手术安全性和近期临床疗效。方法回顾分析我院2012年3月~2014年10月,63例行腹腔镜辅助右半结肠癌D3根治术患者(观察组)与同期56例行传统开腹右半结肠癌D3根治术患者(对照组),比较两组手术情况、术后功能恢复情况、术后并发症、术后局部复发和转移情况。结果观察组术中出血量、肠道功能恢复时间和总住院时间明显少于对照组(P<0.01);观察组术后并发症发生率明显低于对照组(P<0.01);局部复发率、远处转移率与对照组比较差异无统计学意义(P>0.05)。结论相对于开腹右半结肠癌根治术而言,腹腔镜辅助右半结肠癌根治术比传统手术出血少、肠道功能恢复快、并发症率低和住院时间短等优势,近期疗效与传统手术相当。
Objective To compare the safety and efficacy of D3 radical mastectomy with laparoscopic right colon cancer in the treatment of D3 and radical mastectomy of right colon cancer. Methods A retrospective analysis of our hospital from March 2012 to October 2014, 63 patients underwent laparoscopic-assisted right colon cancer D3 radical mastectomy (observation group) and the same period 56 patients undergoing traditional radical mastectomy right colon D3 radical mastectomy ( Control group). The operative conditions, postoperative functional recovery, postoperative complications, postoperative local recurrence and metastasis were compared. Results The intraoperative blood loss, intestinal function recovery time and total hospital stay in the observation group were significantly less than those in the control group (P <0.01). The incidence of postoperative complications in the observation group was significantly lower than that in the control group (P <0.01). The local recurrence rate There was no significant difference between the distant metastasis rate and the control group (P> 0.05). Conclusions Laparoscopic-assisted radical resection of right-sided colon cancer is less effective than conventional surgery in terms of less bleeding, rapid recovery of intestinal function, lower complication rate and shorter hospital stay compared with radical mastectomy for right-sided colon cancer. Recent curative effects and traditions Surgery is quite.