经脐单孔腹腔镜手术治疗结肠癌疗效观察  

Effect Observation on Via Umbilicus Single-port Laparoscopic Surgery for Colorectal Cancer

作　　者：李朝阳[1] 林义办[1] 郭校锡[1] 张梓朗 陈华显 邓建中[1] LI Zhao-yang;LIN Yi-ban;GUO Xiao-xi;ZHANG Zi-lang;CHEN Hua-xian;DENG Jian-zhong(Coloproctological Surgery Dept.,the 1st People's of Foshan City,Guangdong 528000)

机构地区：[1]广东省佛山市第一人民医院肛肠外科,广东佛山528000

出　　处：《中国肛肠病杂志》2020年第9期1-4,共4页Chinese Journal of Coloproctology

基　　金：佛山市卫生和计生局医学科研课题项目(编号:20180050)。

摘　　要：为探讨经脐单孔腹腔镜手术在结肠癌治疗中的应用效果,回顾性分析本院180例行腹腔镜手术的结肠癌患者资料,根据术式不同分为观察组和对照组,各90例。对照组行传统腹腔镜结肠癌手术,观察组行经脐单孔腹腔镜手术。比较两组手术指标、生活质量、并发症及生存率。结果显示,两组手术时间、术中出血量及清扫淋巴结数比较,差异无统计学意义(P>0.05)。观察组术后12hVAS评分、术后进食时间、术后下床活动时间及住院时间均明显优于对照组(P<0.001)。与术前比较,术后1个月两组功能及整体生活质量评分升高,症状和单项测量项目评分降低,观察组变化更明显(P<0.01)。观察组术后并发症发生率低于对照组(P<0.05)。两组术后半年生存率比较,差异无统计学意义(P>0.05)。结果表明,经脐单孔腹腔镜手术可明显降低患者术后疼痛,缩短住院时间,提高术后生活质量,对半年生存率无显著影响,安全性高,值得临床推广应用。This study was to investigate the efficacy of via umbilicus single-port laparoscopic surgical manipulation applied in the treatment of colorectal cancer,authors reviewed the data of 180 patients received above surgery in author’s hospital,according to the received procedures divided them into control group(90 cases,routine laparoscopic procedure for colon cancer)and observation group(90 cases,via umbilicus laparoscopic procedure);then,compared both groups’operation norms,patients’quality of life,complication and survival rate.As results,in operating time,intraoperative bleeding volume,and the numbers of lymphnode removed there was no statistical difference between the two groups(P>0.05);after procedure in the time for postoperative eating,ambulation out-of-bed,and for hospitalization,as well in VAS score at 12 hrs after procedure observation group was all significantly superior to control group(all,P<0.05);compared to before procedure,at 1 month after procedure both groups’score rating on function and whole life quality all increased,while both groups’score ratings on symptoms and single-item decreased,merely observation groups’ones were more significantly(P<0.05);in postoperative complication incidence observation group was lower than control group(P<0.05);in postoperative 0.5 year-survival rate there was no statistical difference(P>0.05).Results show that via umbilicus single-port laparoscopic surgery can significantly relieve patients’postoperative sufferings,shorten hospitalization time,uplift their quality of life,with high safety but without significant influence on 0.5 year-survival rate.It is worthy of clinical popularization and application.

关 键 词：结肠癌 腹腔镜手术 经脐单孔 疗效 

分 类 号：R735.35[医药卫生—肿瘤]