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目的探讨腹腔镜辅助技术在右半结肠癌根治术中的应用价值。方法 30例行腹腔镜辅助右半结肠癌根治术患者作为腹腔镜组,同期30例行开腹右半结肠癌根治术患者作为开腹组,对比手术情况、术后功能恢复情况。结果腹腔镜组患者的手术时间、术后肛门排气时间、术后下床时间及住院时间比开腹组患者明显缩短,差异具有统计学意义(P<0.05),腹腔镜组患者的术中出血量较对照组患者明显降低,差异具有统计学意义(P<0.05)。结论与开腹右半结肠癌根治术比较,腹腔镜辅助右半结肠癌根治术具有术中出血量少、肠道功能恢复快和住院时间短等优势,值得临床对术式和效果进行大样本、长时间随访验证。
Objective To investigate the value of laparoscopic assisted technique in radical resection of right colon cancer. Methods Thirty patients undergoing laparoscopic radical mastectomy for right colon cancer underwent laparoscopic surgery. Thirty patients underwent open radical resection of right colon cancer with open radical resection as an open group during the same period. The operative conditions and postoperative functional recovery were compared. Results The laparoscopic operation time, postoperative anal exhaust time, postoperative ambulation time and hospitalization time were significantly shorter than those in the open group, the difference was statistically significant (P <0.05), laparoscopic surgery patients Bleeding volume was significantly lower than that of the control group, the difference was statistically significant (P <0.05). Conclusions Compared with open right colon cancer radical mastectomy, laparoscopic radical right colon resection has the advantages of less intraoperative blood loss, faster recovery of intestinal function and shorter hospital stay, which is worth a large sample for clinical operation and effect , Long time follow-up verification.