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目的探讨腹腔镜完整结肠系膜切除术在左半结肠癌的应用效果。方法随机选取2011年1月至2015年1月经临床和肠镜证实符合诊断标准的左半结肠癌患者90例,依据手术方法分为两组,每组45例。开腹组行传统开腹结肠癌根治术,系膜组行腹腔镜完整结肠系膜切除左半结肠癌根治术,比较两组手术指标和术后并发症。结果系膜组手术时间和淋巴结清扫数多于开腹组,但术中出血量、术后排气时间、术后引流管拔除时间及住院时间小于开腹组,系膜组术后并发症发生率低于开腹组,差异均有统计学意义(P<0.05)。结论腹腔镜下完整结肠系膜切除根治左半结肠癌能够减少术中出血量、加快患者恢复,缩短住院时间,提高淋巴结清扫的效果,降低术后并发症的发生率,值得在临床上推广。
Objective To investigate the effect of laparoscopic complete mesorectal excision in left-sided colon cancer. Methods Ninety patients with left-sided colon cancer confirmed by clinical and colonoscopy between January 2011 and January 2015 were randomly divided into two groups (45 in each group). The laparotomy group underwent conventional open radical resection of colon cancer, and the mesangial group underwent laparoscopic radical neocollectomy for left-sided colon cancer. The surgical indexes and postoperative complications were compared between the two groups. Results The operation time and number of lymph node dissection in mesangial group were more than those in open group, but the intraoperative blood loss, postoperative exhaust time, postoperative drainage time and hospital stay were less than those in open group and postoperative complications The rate was lower than the open group, the difference was statistically significant (P <0.05). Conclusions Laparoscopic complete mesorectal excision for left-sided colon cancer can reduce the amount of intraoperative blood loss, accelerate the recovery of patients, shorten the length of hospital stay, improve the effect of lymph node dissection and reduce the incidence of postoperative complications, which is worth popularizing clinically.