腹部弧形切口行乙状结肠、直肠肿瘤切除术45例分析  

Analysis of 45 cases of sigmoid colon and rectal cancer resection with abdominal arc incision

作　　者：陈海鹏[1] 徐辉[1] 张继涛[1] 包和义 张双立[1] 王敬琪[1] 魏树新[1] 景慧成[1] 鲁明[1] Chen Haipeng;Xu Hui;Zhang Jitao;Bao Heyi;Zhang Shuangli;Wang Jingqi;Wei Shuxin;Jing Huicheng;Lu Ming(Department of Surgical Oncology, The First Affiliated Hospital of Qiqihar Medical University, Qiqihar 161000,China)

机构地区：[1]齐齐哈尔市第一医院肿瘤外科,161000

出　　处：《中华结直肠疾病电子杂志》2016年第5期410-412,共3页Chinese Journal of Colorectal Diseases(Electronic Edition)

基　　金：齐齐哈尔市科学技术计划资助项目(No.SFZD-2014102)

摘　　要：目的探讨腹部弧形切口行乙状结肠、直肠肿瘤手术治疗中的应用价值。方法回顾性分析齐齐哈尔市第一医院肿瘤外科2014年7月至2016年6月间45例行腹部弧形切口乙状结肠、直肠肿瘤治疗患者的临床资料。结果 45例患者均行腹部弧形切口并顺利完成手术,无副损伤出现,中位术后镇痛时间1.8天,中位排气时间3.2天,中位淋巴结清扫数14枚,中位切口长度11 cm,手术时间、出血量及并发症、住院时间与以往的传统手术相比并无明显增加。结论腹部弧形切口能够有效完成乙状结肠、直肠肿瘤手术,具有手术切口隐蔽、美观、术后疼痛感轻的优点、符合快速康复外科及美容外科的理念,并且手术操作较简单便于基层医院开展,而手术风险及并发症并未增加。因此腹部弧形切口值得在临床中推广应用。Objective To explore the value of abdomen arc incision in sigmoid colon and rectum cancer surgery. Methods The clinical data of 45 routine abdominal arc incision sigmoid colon and rectum cancer patients at the First Affiliated Hospital of Qiqihar Medical University from July 2014 to June 2016 were retrospectively analyzed. Results 45 patients were underwent successfully surgery with abdominal arc incision without side effect.The median postoperative analgesia time was 1.8 days, the median exhaust time was 3.2 days, the median lymph node dissection number was 14, the median incision length was 11 cm. Compared with the previous traditional surgery, the operation time, blood loss, complications and length of hospital stay were not apparent increased. Conclusions We can complete the sigmoid colon and rectal cancer surgery with abdominal arc incision successfully, with artistic hidden incision and less postoperative pain, consistence with the conception of rapid rehabilitation surgery and aesthetic surgery. The operation is relatively simple to facilitate basic hospitals, and does not increase the risks and complications. So the abdomen arc incision is worth popularizing in clinical application.

关 键 词：结直肠肿瘤 外科手术 淋巴结清扫 弧形切口 

分 类 号：R735.3[医药卫生—肿瘤]