腹腔镜结直肠癌根治术的临床分析  

Clinical Analysis of Laparoscopic Radical Resection of Colorectal Cancer

作　　者：王小明[1] 孙卫东[1] 梁林虎[1] 方芳[1] 

机构地区：[1]皖南医学院附属弋矶山医院普外科,安徽芜湖241001

出　　处：《解剖与临床》2009年第3期192-194,共3页Anatomy and Clinics

摘　　要：目的：探讨腹腔镜结直肠癌根治术的可行性。方法：2007年5月-2008年11月我院完成腹腔镜结直肠癌根治术8例，选取同期开腹手术8例，对其临床资料进行对照分析。结果：手术时间腹腔镜组长于开腹组（210min±56minvs160min±32min，P〈0．05）；术中失血量、清扫淋巴结数目、术后并发症发生率两组间无统计学差异（P〉0．05）；术后肠蠕动恢复时间、镇痛时间及术后住院时间腹腔镜组分别为（2．3±0．8）d、（1．7±0．7）d、（8．8±1．1）d，开腹组分别为（3．4±0．9）d、（2．4±0．6）d、（10．2±1．2）d，腹腔镜组短于开腹组（P〈0．05）；两组术后随访均未出现穿刺孔或切口种植转移。结论：腹腔镜结直肠癌根治术安全可行，疗效可靠；与开放手术相比，具有创伤小、微创、疗效好等优势。Objective：To explore the feasibility of laparoscopic radical resection of colorectal cancer. Methods：From May. 2007 to Nov. 2008, laparoscopic radical resection of colorectal cancer was performed on 8 patients. Other 8 cases who underwent laparotomy during the same period served as control group. Their clinical data was collected and analyzed. Results：The operative time in the laparoscope group （LG） was longer than that in the open group（OG） （ 210 min ± 56 min vs. 160 min ± 32 rain, P 〈 0.05）. There were no significant differences in intraoperative blood loss, lymphatic node dissection and postoperative complications between the two groups （P 〉 0.05）. The patients in LG enjoyed faster gastro-intestinal function recovery （2.3 d ± 0.8 d vs. 3.4 d ± 0.9 d, P 〈 0.05）, less need for postoperative analgesics （ 1.7 d ± 0.7 d vs. 2.4 d ± 0.6 d, P 〈 0.05 ） and shorter length of stay （8.8 d ± 1.1 d vs. 10.2 d ± 1.2 d, P 〈 0.05）. There were not port-size or incision implantation metastasis in the two groups during the followed-up period. Conclusions：The laparoscopic radical resection is effective, feasible and safe, which has advantages of mininal injury and good results.

关 键 词：腹腔镜 结直肠癌 根治术 微创 

分 类 号：R735.34[医药卫生—肿瘤]