肥胖患者行腹腔镜结直肠癌切除术的近期疗效分析  

The analysis of short-term treatment outcomes of laparoscopic resection for obese patients with colorectal cancer

作　　者：祁飞[1] 胡志前[1] 周海洋[1] 金凯舟[1] 游清[1] 徐楷[1] 王伟军[1] 

机构地区：[1]第二军医大学长征医院,上海200003

出　　处：《腹腔镜外科杂志》2013年第9期662-665,共4页Journal of Laparoscopic Surgery

摘　　要：目的:探讨肥胖因素对腹腔镜结直肠癌切除术近期疗效的影响。方法:回顾分析2006年12月至2009年12月为92例患者行腹腔镜结直肠癌切除术的临床资料,其中19例体重指数(body mass index,BMI)≥25(肥胖组),73例BMI<25(非肥胖组),对比分析两组患者术中情况、术后恢复、手术并发症等指标。结果:肥胖组患者手术时间明显长于非肥胖组[(203±12)min vs.(174±6)min,P<0.05]。两组术中出血量、淋巴结清扫数量、肠蠕动恢复时间、首次下床时间、术后住院时间、术后并发症等差异均无统计学意义。结论:肥胖可延长腹腔镜结直肠癌切除术的手术时间,但不影响患者术后康复,也不增加术后并发症,为肥胖结直肠癌患者行腹腔镜手术安全、可行,但其远期疗效尚需大样本对照研究与长期随访观察。Objective：To study the impact of obesity on the short-term outcome of laparoscopic-assisted resection of colorectal cancer. Methods ： A total of 92 patients with colorectal cancer,including 19 patients with BMI ≥25 （ obese group） and 73 patients with BMI 〈 25 （ non-obese group） ,underwent laparoseopic-assisted resection of colorectal cancer from Dec. 2006 to Dec. 2009. The intraop- erative and postoperative indicators and surgical complications were compared between the two groups. Results：The average operating time was [ （203 ±12） min vs. （174 ± 6 ） min,P 〈 0.051 , the obese group was longer than non-obese group. There were no differences between the two groups in terms of surgical blood loss, the number of the lymph node harvested, recovery time of intestinal function, postoperative ambulation time, postoperative hospital stay and postoperative complications. Conclusions：Obesity is associated with pro- longed operation time of laparoscopic resection of colorectal cancer, but it does not influence the postoperative recovery nor increase postoperative complication rate. Laparoscopic surgery of colorectal cancer in obese patients is feasible and safe, but the long-term effects still need to be studied through the way of large samples control study and long-term follow-up.

关 键 词：肥胖症 结直肠肿瘤 腹腔镜检查 近期疗效 

分 类 号：R735.3[医药卫生—肿瘤]