全腹腔镜结肠癌根治术中应用U-tie功能性腔内吻合32例分析  

U-tie functional introcorporeal anastomosis in totally laparoscopic colectomy for colon cancer

作　　者：周航 杜强 杨烈[1] 周总光[1] ZHOU Hang;DU Qiang;YANG Lie(Division of Gastrointestinal Surgery,Department of General Surgery,West China Hospital of Sichuan University,Chengdu 610041,China)

机构地区：[1]四川大学华西医院普外科胃肠外科病房,四川成都610041

出　　处：《中国实用外科杂志》2023年第4期416-418,共3页Chinese Journal of Practical Surgery

基　　金：四川省科技厅应用基础研究重点项目(No.2017JY0020);四川大学华西医院学科卓越发展1·3·5工程临床研究孵化项目(No.2021HXBH001)。

摘　　要：目的评估全腹腔镜结肠癌根治术中应用U-tie功能性腔内吻合的安全性及疗效。方法回顾性分析2019年12月至2022年12月四川大学华西医院胃肠外科收治的行完全腹腔镜结肠癌根治术的32例结肠癌病人的临床资料,均采用U-tie功能性腔内吻合进行消化道重建。术后随访观察疗效。结果所有病例均使用2个钉仓完成腔内吻合,无中转开放手术。手术时间为187.4(154~257)min,术中出血29.7(10~100)mL,辅助切口长度为4(3~6)cm。随访时间>3个月,术后30 d出现1例伤口感染并发症,经保守治疗治愈,无吻合口漏、出血,无死亡病例。术后住院时间为6(3~12)d。结论U-tie功能性腔内吻合有更小的吻合创面,降低了操作技术水平对吻合效果的影响,具有简捷、标准化的优势,尤其对于BMI<28的病人,U-tie功能性腔内吻合成本效益较高。Objective To evaluate the safety of U-tie functional introcorporeal anastomosis in totally laparoscopic colectomy for colon cancer.Methods We retrospectively analyzed the clinical data and follow-up data of 32 colon cancer patients who underwent totally laparoscopic colectomy in the gastrointestinal surgery ward of West China Hospital of Sichuan University from December 2019 to October 2022,all patients were completed using U-tie functional introcorporeal anastomosis.Results All patients were successfully completed using 2 cartridges,without conversion to open surgery.The operative time was 187.4(154-257)min;intraoperative bleeding was 29.7(10-100)ml;auxiliary incision length was 4(3-6)cm;the follow-up time was more than 3 months,one case of wound infection complication occurred within 30 days after surgery,which was cured by conservative treatment and there was no death or anastomotic leakage or bleeding;the number of postoperative hospitalization days was 6(3-12)d.Conclusion U-tie functional introcorporeal anastomosis has smaller anastomotic wounds,which reduces the influence of the surgeon's own technique on the anastomotic effect with the advantages of simplicity and standardization,for patients with BMI<28,U-tie functional introcorporeal anastomosis is cost-effective.

关 键 词：结肠癌 腔内吻合 完全腹腔镜 

分 类 号：R6[医药卫生—外科学]