[1]廖梓群** 陈维荣 方蓉 蔡高阳 陈喜贵 邓希 陈宋奇.改良三角吻合技术的完全腹腔镜乙状结肠癌根治术[J].中国微创外科杂志,2019,01(10):903-906.
 Liao Ziqun,Chen Weirong,Fang Rong,et al.Modified Delta-shaped Anastomosis in Totally Laparoscopic Sigmoid Radical Resection[J].Chinese Journal of Minimally Invasive Surgery,2019,01(10):903-906.
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改良三角吻合技术的完全腹腔镜乙状结肠癌根治术()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
01
期数:
2019年10期
页码:
903-906
栏目:
临床研究
出版日期:
2019-10-25

文章信息/Info

Title:
Modified Delta-shaped Anastomosis in Totally Laparoscopic Sigmoid Radical Resection
作者:
廖梓群** 陈维荣 方蓉 蔡高阳 陈喜贵 邓希 陈宋奇
(汕头大学医学院第二附属医院普外一科,汕头515041)
Author(s):
Liao Ziqun Chen Weirong Fang Rong et al.
Department of General Surgery, Second Affiliated Hospital of Shantou University Medical College, Shantou 515041, China
关键词:
腹腔镜改良三角吻合乙状结肠癌根治术结肠肿瘤消化道重建
Keywords:
LaparoscopyModified delta-shaped anastomosisSigmoid radical resectionColon tumorDigestive tract reconstruction
文献标志码:
A
摘要:
目的比较改良三角吻合技术的完全腹腔镜下乙状结肠癌根治术与腹腔镜辅助小切口结肠重建手术的近期效果。方法回顾性分析我院2014年8月~2018年8月60例乙状结肠癌患者资料,均行腹腔镜乙状结肠癌根治术,完全腹腔镜下改良三角吻合技术和腹腔镜辅助小切口重建各30例。比较2组手术时间、重建时间、术中出血量、清扫淋巴结数目、肛门排气时间、进食流质时间、术后住院时间以及切口感染、肺部感染、吻合口出血和吻合口漏等并发症发生率。结果与腹腔镜辅助小切口组比较,完全腹腔镜组重建时间短[(31.9±11.3)min vs. (42.9±8.3)min,t=-4.295,P=0.000],肛门排气早[(2.9±1.1)d vs. (3.6±1.2)d,t=-2.423,P=0.019]。2组手术时间、术中出血量、清扫淋巴结数目、进食流质时间、术后住院时间差异无统计学意义(P>0.05)。2组术后并发症总发生率分别为10.0%(3/30)、16.7%(5/30),差异无统计学意义(P>0.05)。术后随访6~40个月,(14.4±8.3)月,均无局部复发及远处转移,腹壁穿刺孔无肿瘤种植,吻合口无狭窄。结论完全腹腔镜下改良三角吻合技术安全可行,而且创伤小,手术时间短,术后恢复快,近期手术效果令人满意。
Abstract:
ObjectiveTo compare the short-term outcomes between modified delta-shaped anastomosis in totally laparoscopic sigmoid radical resection and laparoscopy-assisted colon reconstruction.MethodsA retrospective analysis was made on 60 patients with sigmoid colon cancer from August 2014 to August 2018 in our hospital. All the patients underwent laparoscopic sigmoid radical resection, including total laparoscopic modified delta-shaped anastomosis (group A, 30 cases) and laparoscopy-assisted colon reconstruction (group B, 30 cases). The operation time, reconstruction time, intraoperative bleeding, retrieved lymph nodes number, exhaust time, first fluid diet time, postoperative stay, and the incidences of wound infection, pulmonary infection, anastomotic leakage, stenosis and bleeding were compared between the two groups.ResultsThe reconstruction time [(31.9±11.3) min vs. (42.9±8.3) min, t=-4.295, P=0.000] and exhaust time [(2.9±1.1) d vs. (3.6±1.2) d, t=-2.423, P=0.019] of group A were shorter than those in the group B. There were no significant differences in the operation time, intraoperative bleeding, retrieved lymph nodes number, first fluid diet time, postoperative stay (P>0.05). The total incidence of postoperative complications was 10.0%(3/30) in group A and 16.7%(5/30) in group B, with no significant difference (P>0.05). All the patients were followed up for 6-40 (14.4±8.3) months. During follow-up period, there was no local recurrence, distant metastase, or anastomotic stenosis in both groups, and no carcinoma implantation was seen in the trocar holes.ConclusionModified delta-shaped anastomosis in totally laparoscopic sigmoid radical resection is a feasible and safe procedure, providing less injury and a favorable short-term outcome.

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备注/Memo

备注/Memo:
基金项目:广东省医学科研基金(A2017108)**通讯作者,E-mail:liaoziqun@sina.com
更新日期/Last Update: 2020-01-09