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目的:探讨手助腹腔镜(HALS)行结肠癌根治术的临床效果。方法:将2010年1月—2011年5月住院的结肠癌患者,随机分成HALS组(21例),传统腹腔镜(LS)组(25例)和常规开腹组(24例),对其临床资料效果进行对比分析。结果:HALS组21例全部完成HALS,LS组23例完成LS,2例中转开腹,但两组中转率差异无统计学意义。HALS组较LS组平均手术时间短(153.9 min vs.171.7 min)(P=0.011)。HALS组与LS组相比术中失血量、平均住院日、总费用、术后排气时间、淋巴结清扫数目均无统计学差异(均P>0.05)。与开腹组比较,HALS组手术时间有所增加(153.9 min vs.131.8 min)(P=0.002),但术中失血量,术后排气时间,住院时间均明显缩短(均P<0.05),两组清除淋巴结数量无统计学差异。结论:HALS结肠癌根治术同样具备传统腹腔镜手术微创,安全,术后恢复快的优点,同时缩短了手术时间。
Objective: To explore the clinical effect of hand-assisted laparoscopic (HALS) radical mastectomy. Methods: The patients with colon cancer hospitalized from January 2010 to May 2011 were randomly divided into HALS group (21 cases), conventional laparoscopic group (25 cases) and conventional laparotomy group (24 cases) Clinical data results comparative analysis. Results: Twenty-one patients in HALS group completed HALS, LS in LS group completed LS, and two patients in LALS group were converted to laparotomy. There was no significant difference between two groups in relapse rate. The average operative time in the HALS group was shorter than that in the LS group (153.9 min vs. 171.7 min) (P = 0.011). There was no significant difference in blood loss, average length of stay, total cost, postoperative exhaust time and the number of lymph node dissection between HALS group and LS group (all P> 0.05). Compared with the open group, the operation time of HALS group increased (153.9 min vs.131.8 min) (P = 0.002), but the intraoperative blood loss, postoperative exhaust time and hospitalization time were significantly shorter (all P <0.05) There was no significant difference in the number of lymph nodes removed between the two groups. Conclusion: The radical resection of colon cancer with HALS also has the advantages of minimally invasive, safe and rapid recovery after laparoscopic surgery, and shortens the operation time.