微创医学

目的探讨腹腔镜下完整结肠系膜切除术（CME）和传统开腹结肠癌根治术治疗右半结肠癌的疗效及安全性。方法回顾性分析本院接受腹腔镜下完整结肠系膜切除（CME组）的右半结肠癌患者32例与同期接受传统结肠癌根治术（对照组）的右半结肠癌患者30例的临床资料。观察记录两组手术相关情况（手术时间、术中出血量、术后排气时间、进食时间、住院时间等）；比较两组患者淋巴结清扫数量及术后并发症情况。结果CME组淋巴结清扫数量为(24.8±5.8)枚，多于对照组的(21.7±4.6)枚，两组比较，差异有统计学意义（P＜0.05）。CME组术后肛门排气时间、术后进食时间、术后并发症以及术后住院时间均少于对照组，差异有统计学意义（P＜0.05）。两组手术时间、术中出血量对比，差异无统计学意义（P＞0.05）。结论CME组术后恢复更快于对照组，CME组能切除更大范围的结肠系膜组织，清扫更多的淋巴结，根治肿瘤更彻底，但并不增加手术时间和风险，腹腔镜下CME手术安全可行，疗效确切。

ObjectiveTo compare the efficacy and safety between laparoscopic complete mesocolic excision(CME) and traditional radical colectomy in the treatment of right colon cancer. MethodsClinical data of 62 patients with right colon cancer were retrospectively analyzed, including 32 cases undergoing laparoscopic CME (CME group) and 30 cases undergoing traditional radical colectomy (control group) during the same period. The operation related indicators were observed and recorded, including operation duration, intraoperative blood loss, duration for postoperative anal exhaust, duration for postoperative feeding and hospital stay. The number of removed lymph nodes and incidence of postoperative complications were compared between the two groups. ResultsThe amount of removed lymph nodes in the CME group was more than that of the control group ［(24.8±5.8) vs (21.7±4.6),P＜0.05］.The duration for postoperative anal exhaust and feeding, incidence of postoperative complications and hospital stay in the CME group were shorter or lower than those in control group (P＜0.05).There were no statistically significant differences between the two groups in the operation duration and intraoperative blood loss（P＞0.05）. ConclusionCompare to the control group, the CME group can achieve a faster postoperative recovery, larger range of resected mesenteric tissue, more removed lymph nodes and more significant radical efficacy for cancer, but does not increase the operation duration and risk.Laparoscopic CME is safe, feasible and effective for right colon cancer.