县级医院复制基于膜解剖的腹腔镜右半结肠癌根治术的初步经验 (附28例报告)

目的:探讨县级医院复制基于膜解剖右半结肠癌根治性切除术的可行性及应用价值.方法:回顾分析28例腹腔镜右半结肠癌手术(基于膜解剖术式)患者的临床资料,记录手术时间、术中出血量、清扫淋巴结数量、术后并发症、术后恢复情况.结果:28例手术均获成功,手术时间135～246 min,平均(182.2±41.3)min;术中出血量...

Preliminary experience of replicating laparoscopic radical resection of right colon cancer based on membrane anatomy in a county-level hospital:with a report of 28 cases

Objective:To explore the feasibility of replicating laparoscopic radical resection of right colon cancer based on membrane anatomy in a county-level hospital and evaluate its application value.Methods:The clinical data of 28 patients who received laparoscopic right hemicolectomy based on membrane anatomy were retrospectively analyzed,including operation time,intraoperative bleeding,number of retrieved lymph nodes,postoperative complications and postoperative recovery.Results:All 28 patients successfully underwent laparoscopic right hemicolectomy based on membrane anatomy.The operative time was 135-246 min,with an average of(182.2±41.3)min.The intraoperative blood loss was 10-45 mL,with an average of(18.5±9.3)mL.The number of retrieved lymph nodes was 17-34,with an average of(25.7±4.5).The hospital stay was 14-20 d,with an average of(16.3±3.6)d.25 of 28 cases recovered favorably,the rest 3 cases had complications after surgery,1 case was complicated with chyle fistula,1 with anastomotic hemorrhage and 1 with pulmonary infection,which were all cured after conservative treatment,and there was no operative death.Conclusions:Laparoscopic radical resection of right colon cancer based on membrane anatomy associates with high safety,satisfactory radical resection and high feasibility.With proficient knowledge of membrane anatomy,certain foundation of laparocopic operation,high-definition or 3D laparoscopic equipment and tacit cooperation,this procedure can be repeatedly performed and is suitable to be popularized in the county-level hospitals.