[1]陈钊城①,刘张,苑珠②,等.腹腔镜与传统入路骶尾部脊索瘤切除术的比较[J].中国微创外科杂志,2017,17(5):428-431.
　Chen Zhaocheng,Liu Zhangyuanzhu*,Yan Ju*,et al.A Comparison Between Laparoscopic and Traditional Excision of Sacrococcygeal Chordomas[J].Chinese Journal of Minimally Invasive Surgery,2017,17(5):428-431.
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腹腔镜与传统入路骶尾部脊索瘤切除术的比较()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
17
期数:
2017年5期
页码:
428-431
栏目:
临床研究
出版日期:
2017-07-14

文章信息/Info

Title:
A Comparison Between Laparoscopic and Traditional Excision of Sacrococcygeal Chordomas
作者:
陈钊城①; 刘张; 苑珠②; 严俊②; 邓海军②; 余江②; 李国新②; 王吉兴**; 陈建庭
南方医科大学南方医院脊柱骨科，广州510080
Author(s):
Chen Zhaocheng;  Liu Zhangyuanzhu*;  Yan Ju*;  et al.
*Nanfang Hospital of Southern Medical University, Guangzhou 510080, China
关键词:
骶尾部脊索瘤; 腹腔镜
Keywords:
Sacrococcygeal chordoma; Laparoscope
文献标志码:
A
摘要:
目的探讨腹腔镜联合后路骶尾部脊索瘤切除术的微创优势。方法回顾性分析我院1999年1月~2015年１月27例骶尾部脊索瘤切除术的临床资料，其中腹腔镜手术15例（腹腔镜组），传统开腹手术12例（传统手术组），比较2组手术时间、术中出血量、术后排气时间、术后住院时间和术后并发症发生率。结果腹腔镜组术后排气时间中位数24 h（16~73 h）明显早于传统手术组72 h（48~120 h）（Z=-3.568，P=0.000）。2组手术时间分别为（280.7±99.0）、（284.5±106.1）min，无统计学差异（t=-0.096，P=0.924）。2组术中出血量分别为中位数700 ml（20~4000 ml）和500 ml（100~1600 ml），无统计学差异（Z=-0.196，P=0.867）。2组术后住院时间中位数分别为14 d（6~77 d）和14.5 d（11~100 d），无统计学差异（Z=-0.541，P=0.614）。2组手术并发症（骶部切口二期愈合、肺部感染、低蛋白血症、大小便障碍及会阴部感觉障碍）发生率无统计学差异(P>0.05)。结论与传统入路手术相比，腹腔镜联合后路骶尾部脊索瘤切除术后排气时间早。
Abstract:
ObjectiveTo investigate the minimally invasive advantages of laparoscopic assisted excision of sacrococcygeal chordomas. MethodsFrom January 1999 to January 2015, 27 patients receiving excision for sacrococcygeal chordomas in this hospital were enrolled. A combined laparoscopy anterior-posterior approach was used in 15 patients(laparoscopic group), while the traditional approach without laparoscopy was used in 12 patients(traditional group). The efficacy of two procedures was compared，including operation time, intraoperative blood loss, exhaust time, postoperative hospitalization time and complication rate.ResultsThe median exhaust time was shorter in the laparoscopic group as compared to the traditional group ［24 h (16-73 h) vs. 72 h (48-120 h), Z=-3.568, P=0.000］. There were no significant differences in operation time, intraoperative blood loss, postoperative hospitalization time and complication rate between the two groups［(280.7±99.0) min vs. (284.5±106.1) min, t=-0.096, P=0.924; 700 ml (20-4000 ml) vs. 500 ml (100-1600 ml), Z=-0.196, P=0.867; 14 d (6-77 d) vs. 14.5 d (11-100 d), Z=-0.541, P=0.614; 9 cases vs. 6 cases, Fisher’s exact test, P=0.632］.ConclusionCombined laparoscopic anterior-posterior approach excision of sacrococcygeal chordomas can achieve earlier postoperative exhaust.

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备注/Memo

备注/Memo:
基金项目：国家临床重点专科建设项目（卫办医政函［2012］649号）**通讯作者，E-mail：wjxwsy@yahoo.com①（汕头市第二人民医院外一科，汕头515000）②（南方医科大学南方医院普外科，广州510080）
更新日期/Last Update: 2017-07-14