腹腔镜直肠前切除术在肥胖直肠癌患者中的近期疗效评价  

Short term efficacy of laparoscopic anterior resection for rectal cancer in obese patients

作　　者：刘宁[1] 吕云福[1] 陈一明[1] 王葆春[1] 黄海[1] 伍海鹰[1] 黄伟炜[1] 邱庆安[1] 常顺伍[1] 

机构地区：[1]海南省人民医院胃肠外科,海口570311

出　　处：《山西医科大学学报》2016年第4期384-387,共4页Journal of Shanxi Medical University

基　　金：国家临床重点专科建设资助项目(医政函[2012]619号)

摘　　要：目的探讨肥胖直肠癌患者行腹腔镜直肠前切除术的近期疗效。方法回顾性分析我院2012-01～2014-12之间经腹腔镜行直肠前切除术（Dixon）的患者216例,按体重分为3组：正常体重组（n=131）,超重组（n=64）,肥胖组（n=21）。比较组间一般情况、术前分期、手术指标、术后恢复及术后并发症。结果三组患者在年龄、性别、术前分期方面差异均无统计学意义（P〉0.05）,手术时间、术中出血量、排气时间、住院时间差异均无统计学意义（P〉0.05）,术后吻合口瘘、肠梗阻、切口感染等并发症上差异均无显著性（P〉0.05）。结论腹腔镜直肠前切除术在肥胖直肠癌患者中应用是安全,可行的。Objective To explore the short term efficacy of laparoscopic anterior resection for rectal cancer in patients with obesity.Methods A retrospectively analysis was conducted among 216 patients undergoing laparoscopic rectal anterior resection（ Dixon） form January 2012 to December 2014. The patients were divided into 3 groups： normal weight group（ n = 131）,overweight group（ n = 64） and obese group（ n = 21）. The general situation,preoperative staging,operation index,postoperative recovery and postoperative complications were compared. Results There was no significant difference in age,gender,preoperative staging,operation time,bleeding volume,exhaust time,hospitalization time,postoperative anastomotic leakage,intestinal obstruction,and wound infection among the three groups（ P〉0. 05）. Conclusion Laparoscopic rectal anterior resection in obese patients with colorectal cancer is safe and feasible.

关 键 词：直肠癌 肥胖 直肠前切除术 吻合口瘘 

分 类 号：R735.37[医药卫生—肿瘤]