腹腔镜结肠癌根治术不同手术入路对肥胖患者疗效比较  

Comparison of the therapeutic effects of different approaches of laparoscopic colon cancer radical operation on obese patients with colon cancer

作　　者：陆路[1] 吴辉 唐武[1] 来伟[2] 曾育杰[2] 褚忠华[2] LU Lu;WU Hui;TANG Wu;LAI Wei;ZENG Yujie;CHU Zhonghua(Department of General Surgery,the 12th People's Hospital of Guangzhou,Guangzhou,510620,China;Department of Gastrointestinal Surgery,Sun Yat-sen Memorial Hospital,Sun Yat-sen University,Guangzhou 510620,China)

机构地区：[1]广州市第十二人民医院普外科,广东广州510620 [2]中山大学孙逸仙纪念医院胃肠外科,广东广州510620

出　　处：《汕头大学医学院学报》2020年第2期91-93,共3页Journal of Shantou University Medical College

摘　　要：目的:探讨腹腔镜结肠癌根治术不同手术入路对结肠癌肥胖患者的疗效。方法:收集2017年1月至2019年12月在广州市第十二人民医院接受腹腔镜结肠癌根治术治疗的结肠癌肥胖患者60例,根据手术入路方式的不同分为观察组和对照组,各30例。观察组采用侧方入路,对照组采用中间入路。比较两组患者手术时间、术中出血量、排气时间、住院时间、中转开腹率、淋巴结清扫和并发症发生率。结果:观察组手术时间(140.14±13.24)min、术中出血量(41.20±5.34)mL、中转开腹率3.33%、并发症发生率6.66%,对照组手术时间(173.28±15.47)min、术中出血量(56.38±6.71)mL、中转开腹率13.33%、并发症发生率20.00%,两组比较差异有统计学意义(均P<0.05)。结论:应用侧方入路的腹腔镜手术治疗结肠癌肥胖患者能有效缩短手术时间,减少术中出血、中转开腹和术后并发症。Objective:To explore the curative effect of different operative approaches of laparoscopic radical resection of colon cancer on obese patients with colon cancer.Methods:From January 2017 to December 2019,60 obese patients with colon cancer who received laparoscopic radical surgery in the 12th People’s Hospital of Guangzhou were collected.According to the different ways of operation,they were divided into the observation group and the control group,30 cases each.The side approach was used in the observation group and the middle approach was used in the control group.The operation time,intraoperative bleeding volume,exhaust time,hospitalization time,conversion to laparotomy rate,lymph node dissection and complication rate were compared between the two groups.Results:The operation time(140.14±13.24)min,intraoperative hemorrhage(41.20±5.34)mL,conversion to laparotomy(3.33%),complication rate(6.66%)in the observation group,operation time(173.28±15.47)min,intraoperative hemorrhage(56.38±6.71)mL,conversion to laparotomy(13.33%)and complication rate(20.00%)in the control group.The difference between the two groups was statistically significant(P<0.05).Conclusion:Laparoscopic operation with lateral approach in the treatment of obese patients with colon cancer can effectively shorten the operation time,reduce intraoperative bleeding,conversion to laparotomy and postoperative complications.

关 键 词：结肠癌 肥胖 腹腔镜 手术入路 

分 类 号：R656.9[医药卫生—外科学]