作者：黄祖东1, 李定明1, 李晓平2, 李焱宁1, 周俊1

单位：1.茂名市人民医院 胃肠外科, 广东 茂名 525000； 2.江门市中心医院 胃肠外科，广东 江门 529000

Authors: Huang Zudong1, Li Dingming1, Li Xiaoping2, Li Yanning1, Zhou Jun1

Unit: 1.Department of Gastrointestinal Surgery, Maoming City People's Hospital, Maoming 529000, Guangdong, China； 2.Department of Gastrointestinal Surgery, Jiangmen Central Hospital, Jiangmen 529000, Guangdong, China

摘要：

目的 探讨腹腔镜辅助右半结肠切除术后不同吻合方式的临床效果。方法 回顾2014年1月至2018年12月茂名市人民医院胃肠外科被诊断为右半结肠癌并行腹腔镜右半结肠切除术的患者,根据肠道重建方式的不同分为回结肠端侧吻合(对照组)(n=170)和回结肠侧侧吻合(观察组)(n=195)。对比两组患者的手术情况及术后并发症情况。结果 观察组肠道功能恢复的时间显著短于对照组(P<0.05);对照组术后吻合口出血及肠梗阻的发生率显著高于观察组(P<0.05)。结论 腹腔镜辅助右半结肠切除术后,采用侧侧吻合法进行肠道重建,有利于降低术后肠梗阻的风险。

关键词：  腹腔镜; 右半结肠切除术; 吻合方式; 效果

Abstract：

Objective To investigate the clinical effect of different anastomosis methods in laparoscopic assisted right hemicolectomy. Methods From January 2014 to December 2018, the patients who were diagnosed with right colon cancer and underwent right hemicolectomy in Department of Gastrointestinal Surgery of Maoming City People's Hospital were divided into ileocolic end-to-side anastomosis group (n=170) and ileocolic side-to-side anastomosis group (n=195)according to different ways of intestinal reconstruction. The operation and postoperative complications of the two groups were compared. Results The recovery time of intestinal function in the side to side group was significantly shorter than that in the end to side group (P<0.05), and the incidence of postoperative anastomotic bleeding and intestinal obstruction in the end to side group was significantly higher than that in the side to side group (P<0.05). Conclusion Sideto-side anastomosis for intestinal reconstruction can reduce the risk of postoperative intestinal obstruction after laparoscopic right hemicolectomy.

Key Words: Laparoscope; Right hemicolectomy; Anastomosis mode; Effect