探讨腹腔镜手术联合全结肠系膜切除术（CME）对右半结肠癌根治术的可行性、安全性、短期和长期肿瘤预后的评价。

回顾性分析2008年1月至2013年5月间收治的66例行根治手术的右半结肠癌病例资料，其中26例接受腹腔镜手术（腹腔镜组），40例接受开腹手术（开腹组），比较两组患者的临床病理和生存资料。

两组患者的基本临床资料差异无统计学意义。腹腔镜组的术中失血量为（31.6±6.8）ml，明显少于开腹组的（68.9±21.5）ml（t=8.552，P<0.001）。开腹组获取总淋巴结（17.6±3.3）枚，明显少于腹腔镜组的（20.6±4.8）枚（t=3.012，P=0.004），但两组患者在阳性淋巴结个数方面差异无统计学意义（t=0.391，P=0.697）。腹腔镜手术可明显改善术后胃肠功能恢复的时间。腹腔镜组和开腹组的术后并发症发生率相近，分别为11.5%和20.0%（χ²=0.812，P=0.367）。腹腔镜组术后3、5年生存率分别为80.2%和57.2%，开腹组分别为75.0%、62.9%，差异无统计学意义（P=0.830）。

腹腔镜辅助联合CME的右半结肠切除术是一项安全有效的术式，其短期预后优于开腹手术，长期预后与开腹手术相近。

To investigate the feasibility, safety, short- and long-term prognosis of laparoscopic surgery combined with complete mesocolic excision (CME) for right colon cancer.

A retrospective analysis of sixty-six colon cancer patients undergoing radical surgery from January 2008 to May 2013 was performed. 26 cases were treated by laparoscopic surgery (laparoscopic group) and 40 cases by open surgery (open group). The differences of clinical pathology and survival data were compared between the two groups.

There were no significant differences between the two groups in the demographic and clinicopathological data. In laparoscopic group, the amount of blood loss was significantly less than the open group [(31.6±6.8) ml vs (68.9±21.5) ml, t=8.552, P<0.001]. In open group, (17.6±3.3) medals of lymph node were harvested, significantly less than the laparoscopic group [(20.6±4.8) medals, t=3.012, P=0.004], but there was no statistical significance in the two groups in the number of positive lymph node (t=0.391, P=0.697). Laparoscopic surgery could significantly improve the recovery of gastrointestinal function. Incidence of postoperative complication in laparoscopic group and open group was simi (11.5% vs 20.0%, χ²=0.812, P=0.367). The cumulative overall survival rate at 3- and 5-year in the laparoscopic group was 80.2% and 57.2%, with no significant difference compared to 75.0% and 62.9% in the open group (P=0.830).

Laparoscopic assisted right-hemicolectomy with CME for colon carcinoma is safe and effective. Compared to open operation, it has better short-term and similar long-term prognosis.