目的

评价手辅式腹腔镜右半结肠癌根治术在老年肥胖患者中的应用价值。

方法

回顾分析我院行手辅式腹腔镜右半结肠癌根治术的老年肥胖患者20例,以及同期开腹右半结肠癌根治术患者25例，并进行两组比较。

结果

两组均无手术死亡病例，均行一期吻合；手辅式腹腔镜组术中出血量少、术后体温恢复快、排气早、术后住院时间短、与开腹组相比差异有显著性意义(P＜0.01)；手辅式腹腔镜组手术时间与开腹组差异无显著性意义；手辅式腹腔镜组手术切除标本长度、清扫淋巴结总数及术后并发症与开腹组比较均无显著性差异。

结论

手辅式腹腔镜右半结肠癌根治术应用于老年肥胖患者，具侵袭性小、操作安全可行、术后恢复快等优点，是一种较为理想的微创手术方式。

Objective

To evaluate the efficiency and safety of hand-assisted laparoscopic right hemicolectomy in aged obesity patients with right colon carcinoma.

Methods

Clinical data of twenty aged obesity patients undergoing hand-assisted laparoscopic right hemicolectomy were retrospectively reviewed, analyzed and compared with those of the control group of twenty-five aged obesity patients who underwent open right hemicolectomy during the same period.

Results

In the hand-assisted laparoscopic group,the patients had less blood-loss, earlier normalization of temperature, recovery of bowel movement and return to normal activity, shorter post-operation hospital stay compared with the control group. The differences of operation time and post-operation complications between two groups were of no statistical significance.

Conclusion

Hand-assisted laparoscopic approach is a safe and efficient surgical procedure for aged obesity patients with right colon cancer.