腹腔镜下全结肠系膜切除对右半结肠癌根治术患者手术效果及恢复情况的影响

Impact of laparoscopic CME on the operation effect and recovery of patients underwent radical resection of right colon cancer

摘要:

摘要：目的??探讨腹腔镜下全结肠系膜切除（CME）对右半结肠癌患者的手术效果及恢复情况的影响。方法 选取2015年1月－2017年12月右半结肠癌患者70例，依据随机数字表分为腹腔镜组和开腹组，每组35例。腹腔镜组行腹腔镜下CME治疗，开腹组行开腹CME手术治疗，比较两组患者的治疗结果及恢复情况。结果 两组患者术后皮质醇（COR）、促肾上腺皮质激素（ACTH）、肾上腺素（E）均明显高于术前，腹腔镜组术后COR、ACTH、E明显低于开腹组，差异均有统计学意义（P??0.05），腹腔镜组术中出血量、排气时间、下床时间、住院时间和并发症率明显少于开腹组，差异均有统计学意义（P?

Abstract:

Abstract: Objective?To discuss the impact of laparoscopic complete mesocolic excision (CME) on the operation effect and recovery of patients underwent radical resection of right colon cancer.?Methods?70 patients underwent radical resection of right colon cancer were selected from January 2015 to December 2017, according to the random number table method, they were divided into CME group and laparotomy group, 35 cases in each group. CME group was given laparoscopic CME treatment, and laparotomy group was given laparotomy treatment. The curative effect and recovery of the two groups were compared.?Results?The cortisol (COR), adrenocorticotropic hormone (ACTH) and epinephrine (E) in CME group and laparotomy group after operation were significantly higher than those before operation, the COR, ACTH and E in CME group after operation were significantly lower than those in laparotomy group, the difference was statistically significant (P??0.05), and the intraoperative bleeding volume, exhaust time, time out of bed, hospitalization time and complication rate in CME group were significantly lower than those in open group, the difference was statistically significant (P?