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中华普外科手术学杂志(电子版) ›› 2019, Vol. 13 ›› Issue (04) : 421 -423. doi: 10.3877/cma.j.issn.1674-3946.2019.04.032

所属专题: 文献

论著

经肛肠减压后3D腹腔镜根治术治疗梗阻性结肠癌的临床观察
秦颖1,(), 张海涛1, 庄树彤1, 文剑锋1, 刘安文1   
  1. 1. 518035 深圳,深圳大学附属第一医院(深圳市第二人民医院) 胃肠外科
  • 收稿日期:2018-09-03 出版日期:2019-08-26
  • 通信作者: 秦颖

Clinical effect of 3D laparoscopic radical operation in treatment of obstructive colon cancer after anorectal decompression

Ying Qin1,(), Haitao Zhang1, Shutong Zhuang1, Jianfeng Wen1, Anwen Liu1   

  1. 1. Department of Gastrointestinal Surgery, The Affiliated Hospital of Shenzhen University (Shenzhen Second People’s Hospital), Shenzhen 518035, China
  • Received:2018-09-03 Published:2019-08-26
  • Corresponding author: Ying Qin
  • About author:
    Corresponding author: Qin Ying, Email:
引用本文:

秦颖, 张海涛, 庄树彤, 文剑锋, 刘安文. 经肛肠减压后3D腹腔镜根治术治疗梗阻性结肠癌的临床观察[J/OL]. 中华普外科手术学杂志(电子版), 2019, 13(04): 421-423.

Ying Qin, Haitao Zhang, Shutong Zhuang, Jianfeng Wen, Anwen Liu. Clinical effect of 3D laparoscopic radical operation in treatment of obstructive colon cancer after anorectal decompression[J/OL]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2019, 13(04): 421-423.

目的

探讨经肛肠减压后3D腹腔镜根治术治疗梗阻性结肠癌的临床疗效。

方法

回顾性分析2015年6月至2018年6月收治的54例梗阻性结肠癌患者的临床资料,所有患者术前均经肛肠减压,根据手术方式分为3D组(25例)和开腹组(29例),所有数据均应用SPSS22.0软件进行统计学分析,围术期相关指标等计量资料以(±s)表示,采用独立样本t检验;术后并发症发生率组间比较采用χ2检验,P<0.05为差异有统计学意义。

结果

两组患者术前减压管放置时间、手术时间和淋巴结清扫数目比较,差异均无统计学意义(P>0.05);3D组术中出血量、首次通气时间以及平均住院时间均明显少于开腹组,但平均住院费用高于开腹组;两组患者术后并发症发生率比较,差异无统计学意义(P>0.05)。

结论

经肛肠减压后实施3D腹腔镜根治术治疗梗阻性结肠癌是安全、有效的,术中出血量少、术后恢复快,值得在临床广泛推广应用。

Objective

To investigate the clinical efficacy of 3D laparoscopic radical operation in treatment of obstructive colon cancer after anorectal decompression.

Methods

The clinical data of 54 patients with obstructive colon cancer admitted into our hospital from June 2015 to June 2018 were analyzed retrospectively. All cases were received anorectal decompression before surgery, according to surgical procedures, the patients were divided into 3D group (25 patients) and laparotomy group (29 patients). Statistical analysis was performed by using SPSS 22.0 software, perioperative indicators were expressed as (±s) and examined by using t test. The post-operative complication rate was examined by chi square test. A P value of <0.05 was considered as significant difference.

Results

There were no significant difference in decompression tube indwelling time, operation time and number of dissected lymph nodes between the two groups(P>0.05). The intraoperative blood loss, first flatus time and average hospitalization time in 3D group were significantly less than those in laparotomy group, the hospitalization cost in 3D group was significantly higher than that in laparotomy group (P<0.05); No significant difference was observed in postoperative complication rate between the two groups (P>0.05).

Conclusion

3D laparoscopic radical operation in the treatment of obstructive colon cancer after anorectal decompression is feasible and safe, with less intraoperative bleeding and faster postoperative recovery, which is valuale to be applied in clinical.

表1 54例梗阻性结肠癌患者不同手术方法两组患者临床基线资料比较(例)
表2 54例梗阻性结肠癌患者不同手术方法两组患者围手术期相关指标比较(±s)
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