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目的比较老年患者腹腔镜内侧入路和开腹行右半结肠切除术的手术情况。方法 56例结肠癌患者根据患者意愿分为腔镜组及开腹组,分别行腹腔镜内侧入路右半结肠切除术(腹腔镜组)及传统开腹右半结肠切除术(开腹组),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、住院时间、术后并发症等指标。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(P>0.05);腹腔镜组出血量、术后肛门排气时间、住院时间明显少于开腹组,差异有统计学意义(P<0.05)。结论腹腔镜内侧入路右半结肠癌根治术应用于老年结肠癌患者安全有效,符合肿瘤根治原则,手术切口小、患者痛苦轻、康复快。
Objective To compare the surgical results of laparoscopic medial approach and right-sided colonotomy in elderly patients. Methods Fifty-six patients with colon cancer were divided into laparoscopic group and laparotomy group according to patients’ wishes. Patients underwent laparoscopic right colon resection (laparoscopic group) and traditional laparotomy (group C) The operation time, intraoperative blood loss, lymph node count, postoperative anal exhaust time, hospitalization time and postoperative complications were compared between the two groups. Results There was no significant difference in the operation time, the number of lymph nodes removed and the incidence of postoperative complications between the two groups (P> 0.05). The laparoscopic group bleeding, postoperative anal exhaust time, hospitalization time were significantly less than those in the open group, The difference was statistically significant (P <0.05). Conclusion Laparoscopic approach to the right colon cancer radical colon cancer surgery for elderly patients with colon cancer is safe and effective, in line with the principle of radical tumor surgery, small incision, the patient pain and quick recovery.