ABSTRACT
Objective To compare the treatment effects between improved micro-laparoscopic hernia sac high ligation and traditional hernia sac high ligation.Methods Retrospective analysis was conducted.A total of 200 pediatric patients diagnosed with inguinal hernia in our hospital from 2013 to 2014,ranging in age from 8 months to 14 years,were enrolled and divided into observational group and control group (n=100) The two groups received improved-micro-laparoscopic hernia sac high ligation and traditional hernia sac high ligation respectively.We recorded intraoperative blood loss,operative incision length and operation time during the operation,and hospitalization time,pain time and total cost after the operation.Recurrence rate and complication were followed up for 6 months.Treatment effects were compared between these two groups.Results Smaller incision length,less blood loss and postoperative pain,shorter operative time and hospitalization time and lower recurrence rate were found in observational group and they were of statistical significance (P＜0.05).Conclusion Improved-micro-laparoscopic hernia sac high ligation for pediatric inguinal hernia shows better treatment effect,lower recurrence rate and better prognosis and it is an ideal approach.
ABSTRACT
Objective To investigate the short-term efficacy and safety-related factors of the complete mesocolic excision and traditional operation for treating colon cancer. Methods The data of 38 patients with colon cancer who received complete mesocolic excision and 47 ca-ses who treated by traditional operation were analyzed retrospectively,and the short-term efficacy and relative factors were compared. Results The average cleaned lymph nodes of CME group and traditional group were respectively (21. 6 ± 7. 5) and (13. 9 ± 7. 1),and the number of cleaned lymph nodes at every stage of surgery in CME group was significantly more than that in traditional group. The survival rates and the recurrence rates of two groups were respectively 100% vs. 80. 9%,10. 5% vs. 46. 8%. There was no significant difference in the postopera-tive exhaust,defecation and hospitalization time. But the rate of complications in CME group was lower than that in traditional group. Conclu-sion For patients with colon cancer,the complete mesocolic excision can clean the surrounding lymph nodes,improve the survival rate,re-duce the relapse rate,which enhances the quality of operation,improves surgical safety,with reliable efficacy,and worthy of further research and extension in clinic.