手辅助腹腔镜与腹腔镜行右半结肠切除术临床效果比较.pdfVIP

中国现代医生2014年5月第52卷第13期 ·临床探讨· 手辅助腹腔镜与腹腔镜行右半结肠切除术 临床效果比较 李大伟 浙江省中医院普外科，浙江杭州310006 【摘要】目的比较手辅助腹腔镜与腹腔镜术式在行右半结肠切除术中的临床效果。方法A组给予手辅助腹腔镜 术式治疗，B组给予腹腔镜术式治疗。比较两组患者术中情况、安全性以及术后并发症的发生情况等。结果A 术后恢复的相关情况无统计学差异(均PO．05)。手辅助腹腔镜组患者的并发症发生率低于腹腔镜组(PO．05)。 结论手辅助腹腔镜术式行右半结肠切除术可同时具有开腹术式和全腹腔镜术式的优点，是治疗结直肠癌的较 为理想的术式，值得临床推广。 [关键词】手辅助腹腔镜；腹腔镜；结直肠癌；右半结肠切除术；并发症 【中图分类号】R656．9；R47【文献标识码】B 【文章编号】1673—9701(2014)13—0135—03 The ofeffectof hand-assistedia- comparison righthemicolectomy而th and paroscopic applied laparoscopy 上IDawei ofGeneral of Chinese 3 Zhejiang Medicine 10006，China Department Surgery Hospital，Hangzhou To theeffectof withhand—assisted and 【Abstract】Objectivecompare righthemicolectomy laparoscopiclaparoscopy Hand—assisted was inA while inB applied．Methodslaparoscopicgiven group laparoscopygiven time for in and were The recoverycompared．Results conditions，security，postoperativecomplications requiredsurgery A was the inA wasmorethanthatinB wasnosatis· shorter(PO．05)，but group bleedinggroup group(PO．05)．There differenceofnuinber betweentwo was tical of the nostatisticaldifferenceofinflu— laparotomy groups(PO．05)．There factorsof betweenthetwo wasnostatisticaldifferenceofcon— P0．05)．There encing postoperativerecovery groups(M1