自锁式尼龙扎带在结直肠癌经自然腔道取标本术中的临床意义  

Clinical significance of self-locking nylon bandage in transluminal specimens extraction for colorectal cancer

作　　者：滕庆 周冬兵[1] 任明扬[1] 蒲敏[1] 杨选华[1] 吕真冰 李权林[1] 覃相志 张大权 TENG qing;ZHOU Dongbing;REN Mingyang;PU Min;YANG Xuanhua;LV Zhenbing;LI Quanlin;QIN Xiangzhi;ZHANG Daquan(Department of Gastrointestinal Surgery, Nanchong Central Hospital, The Second Clinical Institute of North Sichuan Medical College,Nanchong 637000,Sichuan,China)

机构地区：[1]川北医学院第二临床医学院·南充市中心医院胃肠外科

出　　处：《西部医学》2019年第7期1067-1071,共5页Medical Journal of West China

基　　金：国家自然科学基金(81401927);四川省医学科研课题(S15049)

摘　　要：目的探讨在结直肠癌经自然腔道取标本术中使用自锁式尼龙扎带替代腔镜直线切割闭合器的安全性、可行性和卫生经济学价值。方法收集南充市中心医院2017年5月~2018年5月使用自锁式尼龙扎带完成的50例结直肠癌(自锁式尼龙扎带组),与同期使用腔镜直线切割闭合器完成的50例结直肠癌(腔镜直线切割闭合器组)经自然腔道取标本手术患者的临床资料。比较两组手术时间、术中估计出血量、术中并发症、术后第二天C反应蛋白水平、术后肛门排气时间、术后进流质饮食时间、术后住院时间、术后30天内并发症、住院总费用等指标。结果两组均顺利完成手术,无1例中转开腹。两组手术时间、术中估计出血量、术中并发症、术后第二天C反应蛋白水平、术后肛门排气时间、术后进流质饮食时间、术后住院时间、术后30天内并发症等指标比较,差异均无统计学意义(均P>0.05),而自锁式尼龙扎带的平均住院总费用低于腔镜直线切割闭合器组,差异具有统计学意义(P<0.05)。结论自锁式尼龙扎带能减少腔镜直线切割闭合器的使用,取材方便,安全可行,经济实惠,可在临床推广使用。Objective To investigate the feasibility, safety and hygienic economics value of the Self-locking Nylon Cable Ties instead of the Endoscopic linear Cutter Staplers in the natural orifice specimen extraction surgery of colorectal cancer. Methods A retrospective controlled study was conducted to collect the clinical data of 50 patients with colorectal cancer underwent natural orifice specimen extraction surgery using the Self-locking Nylon Cable Ties instead of the Endoscopic linear Cutter Staplers in Nanchong Central Hospital from May 2017 to May 2018(the Self-locking Nylon Cable Tie group). The clinical data of 50 patients with colorectal cancer underwent natural orifice specimen extraction surgery using the Endoscopic linear Cutter Staplers were collected(the Endoscopic linear Cutter Staplers group). The operative time, estimated bleeding volume, intraoperative complications, C-reactive protein value on the second day after operation, postoperative exhaust time, postoperative intake fluid diet time, postoperative hospital stay, postoperative complications within 30 days, total hospitalization costs were compared between the two groups. Results Two groups of patients successfully completed surgery with no conversion to open surgery. There were no significant differences in operative time, estimated bleeding volume, intraoperative complications, C-reactive protein value on the second day after operation, postoperative exhaust time, postoperative intake fluid diet time, postoperative hospital stay, postoperative complications within 30 days between the two groups(all P>0.05). However, The average hospitalization cost of the Self-locking Nylon Cable Ties group was 43,000 RMB less than that of the Endoscopic linear Cutter Staplers group(46,000 RMB), The differences was statistically significant(P<0.05). Conclusion The application of the Self-locking Nylon Cable Ties instead of the Endoscopic linear Cutter Staplers in the natural orifice specimen extraction surgery of colorectal cancer is safe and feasible, The short-

关 键 词：结直肠肿瘤 自锁式尼龙扎带 经自然腔道取标本 腹腔镜手术 

分 类 号：R735.37[医药卫生—肿瘤]