摘要
目的 针对乙状结肠癌,单孔腹腔镜手术切除的一些问题尚未定论,本文就其相关问题进行回顾性研究,为这一技术的适应证、安全性、可行性及根治性等方面进行总结.方法 吉林大学第一医院2011年全年完成28例单孔腹腔镜乙状结肠癌根治术,与同期传统腹腔镜乙状结肠癌根治术34例的病例资料作回顾性分析.结果 单孔腹腔镜组和传统腹腔镜组的平均手术时间分别为（117.78±11.90） min和（145.85±19.89） min（P＜0.05）,平均留置引流管数目分别为（0.37±0.21）枚及（1.82±0.13）枚（P＜0.05）,术后平均住院时间分别为（7.89±0.62） d和（9.71±1.42） d（P＜0.05）,差异均存在统计学意义,在其他手术相关指标、术后恢复指标、并发症、术后病理及根治指标上差异无统计学意义.结论 单孔腹腔镜乙状结肠癌根治术是安全、可行的.与传统腹腔镜乙状结肠癌根治术比较具有相同的根治效果,且具有创伤小、恢复快、美观等优点.
Objective The single incision laparoscopic resection （SIRR） of sigmoid colon cancer still has some issues not yet conclusive. According to some related issues, a retrospective study was done to summarize the indications and the safety, feasibility and radical aspects of this technique. Methods First Hospital of Jilin University operated 28 cases of SIRR of sigmoid colon cancer in patients and 34 cases of traditional laparoscopic radical resection （TRR） of sigmoid colon cancer in patients during the whole 2011. The clinical data of the two groups were analyzed retrospectively. Results In SIRR group and TRR group, the average operative time was （117. 78 ± 11.90） min and （145.85 ± 19. 89） min （P〈0. 05）, the average number of indwelling drainage tube was （0. 37 ± 0. 21） gold and （1.82 ± 0. 13） gold （P〈0. 05）, the average postoperative hospital stay was （7. 89 ± 0. 62） days and （9. 71 ± 1.42） days （P〈0. 05）, respectively. There was no significant difference in other aspects of related indicators of the surgery, postoperative recovery indicators and complications, and postopera- tive pathology and radical index. Conclusion The comparison between SIRR and TRR shows that： （1） SIRR is safe and feasible. As compared with TRR, SIRR has the same radical effect and some other advantages such as minimally invasive trauma, aesthetic outlook and shorter recovery time.
出处
《腹部外科》
2013年第4期247-250,共4页
Journal of Abdominal Surgery
关键词
腹腔镜
结肠肿瘤
回顾性研究
Laparoscopes
Colonic neoplasms
Retrospective Studies
