腹腔镜辅助右半结肠癌根治术与开腹右半结肠癌根治术的对比研究

目的：对比腹腔镜辅助右半结肠癌根治术与开腹右半结肠癌根治术在右半结肠癌根治术中的应用价值。方法选取53例行腹腔镜辅助右半结肠癌根治术患者作为腹腔镜组，选取同期52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、术后并发症、术后局部复发和转移情况。结果腹腔镜组术中出血量、肠道排气时间和住院时间明显少（短）于开腹组（P＜0.01）；腹腔镜组术后并发症发生率9.43%，明显低于开腹组30.77%（P＜0.01）；腹腔镜组局部复发率7.55%、转移率3.77%，与开腹组15.38%、13.46%比较，差异不显著（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、并发症发生率低和住院时间短等优势，符合肿瘤根治性原则，值得临床对术式和效果进行大样本、长时间随访验证。

Comparative study of laparoscopic-assisted radical resection and open radical resection of right colon cancer

Objective To compare the application value of laparoscopic-assisted radical resection of right colon cancer and open radical resection of right colon cancer. Methods Fifty-three patients receiving laparoscopic-assisted radical resection of right colon cancer were selected as the laparoscopy group and fifty-two patients receiving open radical re-section of right colon cancer were selected as the laparotomy group. The operative situation, postoperative functional re-covery situation, postoperative complications, postoperative local recurrence and metastasis situation of the two groups were compared. Results The laparoscopy group had less （shorter） intraoperative blood loss, intestinal exhaust time and length of hospital stay than the laparotomy group（P〈0.01）; The incidence of postoperative complications of the la-paroscopy group was 9.43%, which was significantly lower than the 30.77%of the laparotomy group（P〈0.01）;The local recurrence rate and metastasis rate of the laparoscopy group were 7.55% and 3.77%, which were not significantly dif-ferent from the 15.38%and 13.46%of the laparotomy group （P〉0.05）. Conclusion Compared to open radical resection of right colon cancer, laparoscopic-assisted radical resection of right colon cancer has the advantages of less intraoper-ative blood loss, faster recovery of bowel function, lower incidence of complications and shorter hospital stay, which is in line with radical treatment principles of tumor and worthy of clinical large-sample and long-term follow-up verifica-tion on surgical methods and effects.