探讨减孔腹腔镜手术治疗直肠癌的近期与远期疗效  

Discussion on the short-term and long-term efficacy of reduced-port laparoscopic surgery for rectal cancer

作　　者：杨青 YANG Qing(Department of General Surgery,Chaoyang Central Hospital,Chaoyang 122000,China)

机构地区：[1]朝阳市中心医院普外科,122000

出　　处：《中国现代药物应用》2022年第19期46-48,共3页Chinese Journal of Modern Drug Application

摘　　要：目的 探讨直肠癌采用减孔腹腔镜手术治疗的近期与远期效果。方法 64例直肠癌患者,根据计算机随机排序法分为观察组和对照组,各32例。观察组选择减孔腹腔镜手术治疗,对照组接受常规腹腔镜手术治疗。比较两组患者手术和病理指标(术中出血量、淋巴结清扫个数、术后下地时间、住院治疗时间)、中转开腹手术及术后1个月内并发症(出血、尿潴留、吻合口瘘)发生情况、3年后无病生存率。结果 观察组患者术中出血量(135.12±18.64)ml少于对照组的(152.01±20.05)ml,术后下地时间(2.81±0.59)d、住院治疗时间(10.71±2.25)d均短于对照组的(3.22±0.48)、(12.10±2.14)d,差异均具有统计学意义(P<0.05)。观察组淋巴结清扫个数(13.36±3.12)个与对照组的(12.92±3.56)个比较,差异无统计学意义(P>0.05)。观察组手术过程中转开腹手术发生率0、术后并发症发生率9.38%、3年后无病生存率75.00%与对照组的3.13%、6.25%、71.88%比较,差异均无统计学意义(P>0.05)。结论 直肠癌选择减孔腹腔镜手术治疗的近期和远期效果和常规腹腔镜手术相当,但减孔腹腔镜手术方案可降低手术创伤,缩短术后恢复所需时间,存有一定优势。Objective To discuss the short-term and long-term effect of reduced-port laparoscopic surgery for rectal cancer.Methods A total of 64 cases of rectal cancer patients were divided into observation group and control group according to computer random ordering method,with 32 cases in each group.The observation group received reduced-port laparoscopic surgery,while the control group received conventional laparoscopic surgery.Both groups were compared in terms of surgical and pathological indicators(intraoperative blood loss,number of lymph node dissections,postoperative ambulation time,hospitalization time),conversion to laparotomy,occurrence of complications within 1 month after surgery(bleeding,urinary retention,anastomotic leakage)and disease-free survival rate after 3 years.Results The intraoperative blood loss(135.12±18.64)ml of the observation group was less than(152.01±20.05)ml of the control group;the postoperative ambulation time(2.81±0.59)d and hospitalization time(10.71±2.25)d of the observation group were shorter than(3.22±0.48)and(12.10±2.14)d of the control group;the differences were all statistically significant(P<0.05).There was no statistically significant difference in the number of lymph nodes dissections between the observation group[(13.36±3.12)nodes]and the control group[(12.92±3.56)nodes](P>0.05).The incidence of conversion to laparotomy in the observation group during surgery was 0,the incidence of postoperative complications was 9.38%,and the disease-free survival rate after 3 years was 75.00%,and the differences were not statistically significant compared with 3.13%,6.25%,and 71.88%in the control group(P>0.05).Conclusion The short-term and long-term effects of reduced-port laparoscopic surgery for rectal cancer are comparable to those of conventional laparoscopic surgery.Compared with conventional laparoscopic surgery,the reduced-port laparoscopic surgery has certain advantages in terms of reducing surgical trauma and shortening the time required for postoperative recovery.

关 键 词：减孔腹腔镜手术 中转开腹手术 直肠癌 效果 

分 类 号：R735.37[医药卫生—肿瘤]