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外科研究与新技术（中英文）

外科研究与新技术 ›› 2016, Vol. 5 ›› Issue (1): 15-17.

• 论著 • 上一篇    下一篇

腹腔镜辅助下根治性右半结肠切除术与传统开腹手术的临床研究

李国锋   

  1. 广东省罗定市中医院
  • 收稿日期:2016-01-13 修回日期:2016-01-30 出版日期:2016-03-28 发布日期:2016-03-08
  • 通讯作者: 李国锋 E-mail:1615045184@qq.com

Clinical study of laparoscopic-assisted radical right hemicolectomy and traditional laparotomy

  • Received:2016-01-13 Revised:2016-01-30 Online:2016-03-28 Published:2016-03-08

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摘要： 目的 分析比较腹腔镜辅助下根治性右半结肠切除术与传统开腹手术的临床效果。方法 回顾性观察2013年3月至2015年3月间在我院行腹腔镜下根治性右半结肠切除术患者46例和同期行开腹切除术患者41例，分析比较两组患者的手术及术后治疗效果。结果 (1)腹腔镜组中手术切口长度、术中失血量显著优于开腹组（P<0.05），但其手术时间长于开腹组（P<0.05），但两组在清扫淋巴结数量上无明显差异（P>0.05）。（2）腹腔镜组患者的术后排气时间、下床活动时间、住院时间均显著优于开腹组，差异均具有统计学意义（P<0.05）。结论 腹腔镜辅助下根治性右半结肠切除术，与传统开腹手术相比，在保证手术治疗效果的前提下，还具有切口长度小、术中失血量少、术后恢复时间快、住院时间短等优点，值得在临床上推广使用。

关键词: 右半结肠切除术, 腹腔镜, 开腹手术

Abstract: Objective:To compare the clinical effect of laparoscopic-assisted radical right hemicolectomy and traditional laparotomy. Method:46 patients of receiving the laparoscopic-assisted radical right hemicolectomy from March 2013 to March 2015 in our hospital were reviewed. At the same time period, 41 patients of receiving the laparotomy were also observed. The treatment effect for two groups was compared. Result:The incision length and intraoperative blood loss for laparoscopic group was significantly better than that of laparotomy group (P＜0.05); the operation time for laparoscopic group was longer than that of laparotomy group (P＜0.05); the removed number of lymph nodes for two group was not significantly different (P＞0.05); the evacuation time, time of leaving bed and hospitalization time for laparoscopic group was better than that of laparotomy group (P＜0.05).Conclusion: Compared with the traditional laparotomy, the laparoscopic-assisted radical right hemicolectomy can guarantee the treatment effect, have smaller incision length, fewer blood loss, faster recovery and shorten the hospitalization time. It is worthy of clinical promotion and application.

Key words: right hemicolectomy, laparoscopic, laparotomy