期刊文献+

三孔法腹腔镜直肠癌根治术的临床研究 被引量:6

Clinical study of laparoscopic resection of rectal cancer with three trocar
原文传递
导出
摘要 目的:探讨三孔法腹腔镜直肠癌根治术的可行性及近期临床效果,对三孔法腹腔镜直肠癌根治术的临床应用价值进行前瞻性研究分析。方法:根据严格的入组标准将2004年6月至2009年12月在我科收治的符合入组条件的直肠癌病人700例分成三孔法腹腔镜组(n=345)和传统开腹手术组(n=355)。比较两组病人的术中及术后一般情况、手术相关病理学因素、术后并发症及1~5年随访资料等。结果:对比开腹手术组,三孔法腹腔镜组病人术中出血量少;术后下床时间早,排气快,但平均手术时间更长。在并发症发生率、切除标本中淋巴结个数、下切缘距肿瘤距离及随访效果方面两组无统计学差异。结论:三孔法腹腔镜直肠癌根治术对腹腔镜技术要求较高,但安全可行,具有传统开腹手术相同的根治效果及更好的近期疗效。 Objective To evaluate the treatment of the laparoscopic resection of rectal carcinoma with three trocars.Methods Seven hundred patients recruited according to the inclusion criteria were randomly divided into two groups.The laparoscopic group contains 345 patients who received laparoscopic radical resection,and the open group contains 355 patients who underwent open radical resection.The differences on the intraoperative and postoperative general conditions,pathological factors concerning with the operation,postoperative complications and the follow-up data 1-5 years after operation were compared between the two groups.Results Compared to the open group,the volume of bleeding was less in the laparoscopic group,the passage of flatus occurred earlier.Patients got off bed earlier in the laparoscopic group.But the average operation time was significantly longer.There was no difference for postoperative complications,the mean number of lymph nodes resected,length of lower resected margin to the tumor,the rate of relapse,metastasis,mortality in 1-5 year after operation between the two groups.Conclusions Laparoscopic radical resection of rectal carcinoma with three trocars is a feasible procedure with better short-term outcomes.
出处 《外科理论与实践》 2012年第1期62-64,共3页 Journal of Surgery Concepts & Practice
基金 浙江省卫生厅科技项目(2004B194)
关键词 腹腔镜手术 直肠癌 开腹手术 近期疗效 Laparoscopy Rectal carcinoma Laparotomy Short-term outcome
  • 相关文献

参考文献9

  • 1Sugihara K,Moriya Y,Akasu T,et al.Pelvic autonomic nerve preservation for patients with rectal carcinoma.Oncologic and functional outcome[J].Cancer,1996,78(9):1871-1880.
  • 2Leung KL,Kwok SP,Lam SC,et al.Laparoscopic resection of rectosigmoid carcinoma:prospective randomised trial[J].Lancet,2004,363(9416):1187-1192.
  • 3Liang JT,Huang KC,Lai HS,et al.Oncologic results of laparoscopic D3 lymphadenectomy for male sigmoid and upper rectal cancer with clinically positive lymph nodes[J].Ann Surg Oncol,2007,14(7):1980-1990.
  • 4Patankar SK,Larach SW,Ferrara A,et al.Prospective comparison of laparoscopic vs.open resections for colorectal adenocarcinoma over a ten-year period[J].Dis Colon Rectum,2003,46(5):601-611.
  • 5Li J,Chen R,Xu YQ,et al.Impact of a laparoscopic resection on the quality of life in rectal cancer patients:results of 135 patients[J].Surg Today,2010,40(10):917-922.
  • 6Sambasivan CN,Deveney KE,Morris KT.Oncologic outcomes after resection of rectal cancer:Laparoscopic versus open approach[J].Am J Surg,2010,199(5):599-603.
  • 7Lezoche G,Baldarelli M,Campagnacci R,et al.Laparoscopic surgery of rectal cancer:state of art and long-term results[J].Ann Ital Chir,2010,81(4):265-268,283.
  • 8Adam IJ,Mohamdee MO,Martin IG,et al.Role of circumferential margin involvement in the local recurrence of rectal cancer[J].Lancet,1994,344(8924):707-711.
  • 9Nagtegaal ID,Marijnen CA,Kranenbarg EK,et al.Circumferential margin involvement is still an important predictor of local recurrence in rectal carcinoma:not one millimeter but two millimeters is the limit[J].Am J Surg Pathol,2002,26(3):350-357.

同被引文献58

  • 1Clinical Outcomes of Surgical Therapy Study Group. A comparison of laparoscopically assisted and open colectomy for colon cancer[J]. N Engl J Med, 2004,350(20):2050-2059.
  • 2Jackson TD, Kaplan GG, Arena G, et al. Laparoscopic versus open resection for colorectal cancer: a metaanalysis of oncologic outcomes[J]. J Am Coil Surg, 2007,204(3):439-446.
  • 3Veldkamp R, Kuhry E, Hop WC, et al; Colon Cancer Laparoscopic or Open Resection Study Group (COLOR). Laparoscopic surgery versus open surgery for colon cancer: short-term outcomes of a randomised trial [J]. Lancet Oncol, 2005,6 (7) : 477-484.
  • 4Schwenk W, Haase O, Neudecker J, et al. Short term benefits for laparoscopic colorectal resection [J]. Cochrane Database Syst Rev, 2005, (3) : CD003145.
  • 5Zhang L, Zhang G, Wang P, et al. 3-Port incisionless laparoscopic surgery for rectal cancer with a transrectal assistance[J]. Case Rep Clin Med, 2013,2(7):386.
  • 6Varadarajulu S, Tamhane A, Drelichman ER. Patient perception of natural orifice transluminal endoscopic surgery as a technique for cholecystectomy [ J ]. Gastrointest Endosc, 2008, 67 (6) : 854-860.
  • 7Li W, Xiao JH. Investigation for Acceptance of Natural Orifice Translumenal Endoscopic Surgery By Inpatients with Digestive Diseases [J]. Gastrointest Endosc, 2008,67 (5) :AB120.
  • 8Bucher P, Pugin F, Morel P. Single port access laparoscopic right hemicolectomy [J]. Int J Colorectal Dis, 2008,23 (10) : 1013-1016.
  • 9Vasilakis V, Clark CE, Liasis L, et al. Noncosmetic benefits of single-incision laparoscopic sigmoid colectomy for diverticular disease: a case-matched comparison with multiport laparoscopic technique[J]. J Surg Res, 2013,180(2) :201-207.
  • 10Hohenberger W, Weber K, Matzel K, et al. Standardized surgery for colonic cancer: complete mesocolic excision and centralligation--technical notes and outcome[J]. Colorectal Dis, 2009,11 (4) : 354-365.

引证文献6

二级引证文献30

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部