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目的总结腹腔镜下右半结肠癌根治术的手术方法、优缺点及应用价值。方法回顾性分析腹腔镜下行右半结肠癌根治术38例资料。其中,盲肠癌10例,升结肠癌18例,结肠肝曲部10例。结果 37例成功完成手术,1例结肠肝曲癌术中见肿瘤侵犯十二指肠中转开腹。中位手术时间146.6 min。胃肠功能恢复时间平均30.2 h,平均术后住院时间8.6 d,无并发症发生。结论 腹腔镜下右半结肠癌根治术技术上可行,具有手术创伤小、术后恢复快等优点。
Objective To summarize the surgical methods, advantages and disadvantages, and application value of laparoscopic right colon resection. Methods Retrospective analysis of 38 cases of laparoscopic radical right colon cancer radical mastectomy. Among them, 10 cases of cecal cancer, ascending colon cancer in 18 cases, 10 cases of colonic liver song. Results 37 cases completed the operation successfully, and 1 case of colonic liver cancer showed tumor invasion and duodenal transit. The median operative time was 146.6 minutes. The average recovery time of gastrointestinal function was 30.2 h, and the average postoperative hospital stay was 8.6 days. No complication occurred. Conclusion Laparoscopic right colon cancer radical surgery is technically feasible, with less surgical trauma, postoperative recovery and so on.