摘要
目的:探讨既往外科治疗史对直肠癌患者微创手术短期效果的影响。方法:回顾分析2008年1月至2013年12月收治的362例直肠癌患者的临床资料。根据接受治疗前有无外科治疗史分为既往外科治疗史组(P组)与非既往外科治疗史组(NP组),P组患者61例,NP组301例,比较两组患者术中情况、术后恢复情况、并发症发生情况及感染情况。结果:两组患者手术时间、术中出血量、淋巴结清扫数量、远切缘长度、近切缘长度、术中输血例数、术后恢复情况(首次排气时间、首次进食时间、首次下床时间及出院时间)差异无统计学意义;合并既往外科治疗史的患者术后发生肠梗阻的比例显著高于非既往外科治疗史的患者(χ2=5.002,P=0.025),差异有统计学意义;两组患者吻合口漏、吻合口出血、腹腔内出血、肺部感染、腹腔感染、切口感染、再手术及死亡的差异均无统计学意义。结论:对于合并既往外科治疗史的直肠癌患者行腹腔镜手术是安全、可行的,值得临床推广。
Objective： To investigate the effect of previous surgical history on short-term effect of minimally invasive surgery for rectal cancer. Methods： A retrospective analysis was made on the clinical data of 362 patients with rectal cancer from Jan. 2008 to Dec.2013. Patients were divided into group P（ 61 patients with previous surgical history） and group NP（ 301 patients without surgical history）. The intraoperative situation,postoperative recovery,complications as well as infection were compared between the two groups. Results： The operative time,intraoperative blood loss,number of harvested lymph node,distance of distal and proximal incision edge to cancer,the blood transfusion,postoperative recovery（ first exhaust time,first eating time,ambulation time and hospital stay） between the two groups were not significantly different. The intestinal obstruction of group P was significantly higher than that of group NP（ χ2=5. 002,P = 0. 025）. There were no differences between the two groups in anastomotic leakage,anastomotic bleeding,abdominal bleeding,lung infections,abdominal infections,incision infection,reoperation or death. Conclusions： For the rectal cancer patients with previous surgical history,minimally invasive laparoscopic surgery is safe and feasible,and worthy of promotion in clinic.
出处
《腹腔镜外科杂志》
2015年第10期756-759,共4页
Journal of Laparoscopic Surgery
关键词
直肠肿瘤
腹腔镜检查
手术史
短期效果
Rectal neoplasms
Laparoscopy
History of previous surgical treatment
Short-term effects
