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目的比较不同入路进行腹腔镜下右半结肠根治术的临床效果。方法选取陕西省三原县中医院结肠癌患者行腹腔镜下根治术44例,根据手术入路途径不同分为中间入路组和侧方入路组(n=22),采用不同的手术入路方式进行手术,观察所有患者的手术时间、住院时间、术中出血量、中转开腹率及并发症发生情况,并分析两组患者相应指标情况并比较。结果侧方入路组患者在手术时间、术中出血量、中转开腹率等情况上优于中间入路组(P<0.05);两组患者住院时间、并发症发生率比较,差异无统计学意义。结论腹腔镜下右半结肠根治术行侧方入路途径,能缩短手术时间,减少术中出血量,有效降低中转开腹率,利于患者术后恢复。
Objective To compare the clinical effects of different laparoscopic right colon resection. Methods Forty-four patients undergoing laparoscopic radical mastectomy for colon cancer in Sanyuan Hospital of Traditional Chinese Medicine in Shaanxi Province were divided into two groups according to the route of approach: n = 22, middle route and side route (n = 22) Methods All patients were operated on and the operation time, hospitalization time, intraoperative blood loss, conversion rate to laparotomy and complications were observed. The corresponding indexes of two groups were analyzed and compared. Results The patients in the lateral approach group were superior to the intermediate approach group in terms of operation time, intraoperative blood loss, and the rate of laparotomy (P <0.05). There was no significant difference in the length of hospital stay and complication between the two groups Significance of learning. Conclusions Laparoscopic right colon resection performed lateral approach, which can shorten the operation time, reduce the intraoperative blood loss, effectively reduce the rate of laparotomy, and facilitate the recovery of patients.