Study on the effect of complete mesocolic excision in the treatment of right-sided colon cancer
Objective To explore the effect of complete mesocolic excision(CME)in the treatment of right-sided colon cancer,in order to provide reference for the treatment of the patients with right-sided colon cancer.Methods A total of 87 patients with right-sided colon cancer admitted to Qingdao Chengyang District People's Hospital from February 2018 to November 2020 were selected and divided into control group with 39 cases and study group with 48 cases according to treatment methods.The control group was treated with traditonal non complete mesocolic excision,the study group was treated with CME.The operation time,intraoperative bleeding,postoperative exhaust time,number of lymph node dissection,the level of plasma albumin and prealbumin on the first and third day after operation and the incidence of postoperative complications were compared between the two groups.Results There were no statistically significant differences between the study group and the control group in the operation time,intraoperative bleeding volume(P＞0.05).The exhaust time and the number of lymph nodes dissection in the study group were better than those in the control group,and the differences were statistically significant(P＜0.05).The plasma albumin and prealbumin levels of the study group on the first day and third day after operation were higher than those of the control group,and the differences were statistically significant(P＜0.05).The incidence of complications in the study group was 6.25％,which was lower than 25.64％in the control group,and the difference was statistically significant(x2=6.366,P＜0.05).Conclusion Compared with traditional surgery,CME did not increase the operation time and the amount of surgical bleeding,while shorted the postoperative recovery time of exhaust,the lymph node cleaning was more thorough,which had less impact on the nutritional indicators of the body,and the incidence of postoperative complications was lower.Therefore,CME had an ideal therapeutic effect and was worth promoting and applying in clinical practice.
NETL
NSTL
万方数据
