全结肠系膜切除术治疗结肠癌的疗效分析

目的 探讨结肠癌患者应用全结肠系膜切除术治疗的临床疗效.方法 回顾性分析320例结肠癌患者临床病历资料,按照随机数字表法将其分组为对照组(传统根治术)与观察组(全结肠系膜切除术),各160例.统计2组患者手术时间、术中出血量、术后引流量、术后排气时间及术后住院时间;统计2组患者淋巴结清扫情况及术后并发症,随访2个月,统计2组患者病灶复发情况.结果 观察组术中出血量、术后排气时间、术后引流量及术后住院时间均明显少(短)于对照组,P<0.05;观察组淋巴结、阳性淋巴结、左、右半结肠淋巴结清除均明显多于对照组,P<0.05.观察组并发症率为2.50%(4/160),明显低于对照组的13.13%(21/160),P<0.05.观察组复发率为0,明显低于对照组10.63%,P<0.05.结论 全结肠系膜切除术治疗结肠癌患者疗效显著且安全.

Efficacy of Total Mesocolon Resection for Colon Cancer

Objective To study the application of total mesocolon resection for colon cancer.Methods Retrospective analysis of clinical data of 320 patients with colon cancer were analyzed ,according to random number table method were grouped into the control group ( traditional radical prostatectomy ) and the observation group ( total mesocolon resection ) ,160 cases in each.Operation time ,intraoperative blood loss , postoperative patients with lead flow and postoperative hospital stay , postoperative ex-haust time,lymph node cleaning and postoperative complications of the 2 groups were analyzed ,follow-up for 2 months,recurrent lesions of the 2 groups were analyzed.Results Intraoperative blood loss ,postoperative exhaust time ,postoperative led traffic and postoperative hospital stay of the observation group were significantly less (shorter)than the control group,P<0.05;Positive lymph nodes,left,right half colon lymph node lymph node removal of the observation group were significantly more than the con -trol group,P<0.05.The complication rate was 2.50%(4/160)in the observation group,which was obviously lower than the con-trol group,13.13%(21/160),P<0.05.The recurrence rate was 0 in the observation group,which was obviously lower than the control group,10.63%,P<0.05.Conclusion Total mesocolon resection for colon cancer is effective and safe.