完整结肠系膜切除术在结肠癌治疗中的应用价值分析

【摘要】〓目的〓探讨完整结肠系膜切除术(CME)在结肠癌治疗中的应用价值。方法〓回顾性分析60例结肠癌患者的临床资料,将所有病例分为观察组和对照组,每组30例。对照组采用传统根治术治疗,观察组采用CME治疗。比较两组手术时间、术中出血量、下床时间、排气时间、首次进食时间、术后住院时间、淋巴结清扫数量及并发症发生率。结果〓观察组手术时间、术中出血量、下床时间、排气时间、首次进食时间、术后住院时间均显著小于对照组(P<0.05),观察组淋巴结清扫数目显著大于对照组(P<0.05);观察组不良反应发生率显著低于对照组(P<0.05)。结论〓与传统根治术相比,CME在结肠癌治疗中的应用效果更为显著。

Complete mesocolic excision (CME) analysis and application value in the treatment of colon cancer

【Abstract】〓Objective〓To summarize the experience of complete mesocolic-excision (CME) in treatment of colon cancer. Methods〓A total of 60 patients with colon cancer were selected for the study, in which 30 cases underwent radical surgery of colon cancer (observation group) by CME approach and another 30 cases were treated with traditional radical surgery (control group). The clinical effects were compared between two groups in operation time, intraoperative bleeding volume, the time of get out of bed, the first exhaust time, the first eating time, postoperative hospitalization time, excisional lymph node number and the incidence of complications. Results〓In observation group, the operation time, bleeding volume, the time of get out of bed, the first exhaust time, the first eating time, postoperative hospitalization time were less than that in control group (P<0.05). The number of excisional lymph node in observation group was more than that in control group(P<0.05). Four cases of controls recurred during a following-up of 3-48 months and only one in observation group. Conclusion〓CME procedure is more effective than traditional radical surgery in treating colon cancer and is worth to generalize.