尾侧入路与中间入路行腹腔镜下右半结肠癌根治术临床效果对比

目的分析尾侧入路法与中央入路法在腹腔镜下右半结肠癌根治术中临床效果。 方法回顾性分析2016年5月至2018年7月115例行腹腔镜右半结肠癌根治术患者资料，按手术入路不同分为观察组(n＝57，采用尾侧入路)和对照组(n＝58,采用中间入路)。数据采用SPSS 22.0统计软件分析，围术期各项指标以( ±s)表示，采用独立t检验；并发症发生率采用χ²检验，以P<0.05为差异有统计学意义。 结果观察组患者手术时间、术中出血量均少于对照组(P<0.05)；两组患者淋巴结清扫数目、中转开腹率、术后恢复排气时间、排便恢复时间、拔除引流管时间、初次饮食时间、术后住院时间、术后并发症发生率差异均无统计学意义(P>0.05)。 结论尾侧入路法在右半结肠癌根治术中具有手术时间短及术中出血量少优势，两种术式治疗右半结肠癌均安全、可靠。

Clinical comparison of laparoscopic radical resection of right colon cancer with caudal approach and intermediate approach

ObjectiveTo compare and analyze the clinical effect of two kind of approaches: caudal approach and central approach in laparoscopic radical resection of right colon cancer. MethodsThe data of 115 patients undergoing laparoscopic radical resection of right colon cancer from May 2016 to July 2018 were retrospectively analyzed. According to the different operative approaches, the patients were divided into two groups: the observation group(n=57 caudal approach was used) and the control group(n=58, central approach was used). The data were analyzed by SPSS 22.0 software. The measurement data of perioperative indexes were expressed as( ±s), t test of independent samples was used between groups, the incidence of complications and other counting data were compared by χ² test. P<0.05 meant the difference was statistically significant (P<0.05). ResultsThe time of operation and the amount of intraoperative bleeding in the observation group were less than those in the control group (P<0.05); There was no significant difference in the number of lymph node dissection, the rate of conversion to laparotomy, the time of recovery of exhaust, the time of recovery of defecation, the time of removing drainage tube, the time of first eating, the time of hospitalization after operation, the incidence of postoperative complications (P>0.05). ConclusionThe caudal approach has the advantages of short operative time and less blood loss during radical resection of right hemicolon cancer. Both methods are safe and reliable in the treatment of right hemicolon carcinoma.