腹腔镜同期肝部分切除术治疗结直肠癌并肝转移的疗效分析  

Clinical efficacy of simultaneous laparoscopic hepatectomy for colorectal cancer with liver metastasis

作　　者：彭伟谦[1] 陈卓林[1] 李瑞平[1] 龚时文[1] PENG Wei-qian;CHEN Zhuo-lin;LI Rui-ping;GONG Shi-wen(Department of General Surgery, Dongguan Peopled Hospital, Dongguan 523000, China)

机构地区：[1]广东省东莞市人民医院普外科,广东东莞523000

出　　处：《广东医科大学学报》2019年第1期51-54,共4页Journal of Guangdong Medical University

摘　　要：目的观察腹腔镜同期肝部分切除术治疗结直肠癌并肝转移的疗效。方法收集37例结直肠癌并肝转移患者临床资料,其中17例采用腹腔镜结直肠癌根治性术联合腹腔镜肝部分切除术(腹腔镜组),20例采用腹腔镜结直肠癌根治性术联合开腹肝部分切除术(开腹组),比较两组治疗效果。结果腹腔镜组术后ICU入住时间、肛门排气时间、住院时间均短于开腹组(P<0.01或0.05),手术时间、术中出血量、切缘阳性率、3年无瘤生存期、3年总生存期及并发症发生率与对照组相比,差异无统计学意义(P>0.05)。结论结直肠癌并肝转移瘤患者行腹腔镜同期肝部分切除术是安全可行。Objective To observe the clinical efficacy of simultaneous laparoscopic hepatectomy for colorectal cancer with liver metastasis. Methods Clinical data of 37 patients with colorectal cancer and liver metastasis were collected, of whom 17 cases received laparoscopic colorectal cancer resection and laparoscopic hepatectomy (laparoscopic group), and 20 cases underwent laparoscopic colorectal cancer resection and laparotomic hepatectomy (laparotomic group). The therapeutic efficacy was compared between 2 groups. Results ICU stay, anal exhausting time and hospital stay were shorter in laparoscopic group than in laparotomic group (P<0.01 or 0.05). There were no significant differences in operative time, intraoperative blood loss, positive margin, 3-year tumor-free survival, 3-year overall survival, and complications between 2 groups (P>0.05). Conclusion Simultaneous laparoscopic hepatectomy is safe and feasible for colorectal cancer with liver metastasis.

关 键 词：结直肠癌 肝转移 腹腔镜手术 

分 类 号：R735.3[医药卫生—肿瘤]