直肠上段、乙状结肠癌减孔腹腔镜与常规腹腔镜手术的对比研究  

Comparative study of reduced port laparoscopy and conventional laparoscopy in radical resection of upper rectal and sigmoid colon cancer

作　　者：黄波[1] 廖皓宇[1] 王丽娜 韩飞 HUANG Bo;LIAO Hao-yu;WANG Li-na(Department of General Surgery,the People's Hospital of Shapingba District in Chongqing,Chongqing 400030,China;Chongqing Public Health Medical Center)

机构地区：[1]重庆市沙坪坝区人民医院普通外科,重庆400030 [2]重庆市公共卫生医疗救治中心 [3]陆军军医大学军事预防医学院

出　　处：《腹腔镜外科杂志》2021年第9期666-670,共5页Journal of Laparoscopic Surgery

摘　　要：目的:对比直肠上段、乙状结肠癌行减孔腹腔镜与常规腹腔镜根治术的治疗效果,探讨减孔腹腔镜手术的安全性、可行性。方法:回顾分析2017年2月至2018年2月收治的80例直肠上段、乙状结肠癌患者的临床资料,将患者分为减孔组与常规组,每组40例。统计分析两组手术相关指标、疼痛程度、炎症变化、胃肠道功能恢复情况、术后并发症、远期生存率及复发率等指标。结果:两组术中出血量、手术时间、淋巴结清扫数量、系膜切除完整性差异无统计学意义(P>0.05);减孔组术后C反应蛋白水平、疼痛程度、术后首次排气时间、进食流质饮食时间、引流管留置数量及住院时间低于常规组(P<0.05);两组术后并发症发生率、复发率及1年、3年总生存率差异无统计学意义(P>0.05)。结论:直肠上段、乙状结肠癌行减孔腹腔镜根治术的疗效与常规腹腔镜手术相当,但具有创伤小、康复快、节约人力成本等优点。Objective:To compare the therapeutic effect of reduced port laparoscopic and conventional laparoscopic radical resection for upper rectal and sigmoid colon cancer,and to explore the safety and feasibility of reduced port laparoscopic operation.Methods:A retrospective analysis was conducted on the clinical data of 80 patients who suffered from upper rectal and sigmoid colon cancer from Feb.2017 to Feb.2018.All of the patients were divided into reduced port laparoscopic group(40 cases)and conventional laparoscopic group(40 cases).A statistical analysis was performed on surgery-related indicators,pain degree,inflammation changes,gastrointestinal function recovery,postoperative complications,long-term survival rate and recurrence rate.Results:There was no significant difference in the intraoperative blood loss,operation time,number of lymph node dissected,and completeness of mesenterium resection between the two group(P>0.05).The level of postoperative C reactive protein,the degree of pain,time of postoperative first exhaust,time of liquid diet intake,number of indwelling drainage tubes and hospital stay in reduced port laparoscopic group were significantly less than those in conventional laparoscopic group(P<0.05).There was no significant difference in the incidence of postoperative complications,recurrence rate and 1-year,3-year overall survival rate between the two groups(P>0.05).Conclusions:The reduced port laparoscopic radical operation has advantages of fewer trauma,faster recovery and less labor cost,its therapeutic effect is similar to conventional laparoscopy in the treatment of upper rectal and sigmoid colon cancer.

关 键 词：结直肠肿瘤 腹腔镜检查 对比研究 

分 类 号：R735.34[医药卫生—肿瘤]