摘要
目的：探索经脐单孔腹腔镜在乙状结肠癌根治术中的可行性、安全性及临床疗效。方法：回顾性分析2013年9月至2015年12月间,在我院外科接受单孔腹腔镜乙状结肠癌根治术23例病人的临床资料。结果 ：本研究23例病人中17例顺利完成单孔腹腔镜乙状结肠癌根治术,6例增加一个操作孔,其中5例因操作困难,1例为血管损伤。17例单孔腹腔镜操作的病人手术时间为（92.1±12.5）（65-115）min,术中出血量（46.8±19.6）（10-80）m L,下切端（2.6±1.2）cm,淋巴结获取数（13.2±4.2）（8-25）枚。术后病理均为腺癌,TNM分期：0-Ⅰ期6例,Ⅱ期4例,Ⅲ期7例。术中增加操作孔的病人：0-Ⅰ期2例,Ⅱ期2例,Ⅲ期2例。23例术后无严重并发症,术后中位随访时间10（2-15）个月,均未发现肿瘤复发或转移,无死亡病例。结论：经脐单孔腹腔镜乙状结肠癌根治术可行和安全,建议逐步开展。
Objective To evaluate the feasibility and safety and clinical results of single incision laparoscopic surgery（SILS） in the treatment of sigmoid colon cancer. Methods A retrospective analysis of clinical data from 23 patients with radical sigmoidectomy using SILS from September 2013 to December 2015 was performed. Results Seventeen patients underwent radical sigmoidectomy with SILS successfully（SILS group） while 6 patients added one port（2 port group） due to difficult surgical exposure in 5 cases and vascular injury in the other case. The operating time in the SILS group was（92.1±12.5）（65-115） min with blood loss（46.8±19.6）（10-80） m L, distal margin（2.6±1.2） cm and lymph node harvest（13.2±4.2）（8-25）. All cases were adenocarcinoma by pathological examination. There were 6 cases, 4 cases and 7 cases of SILS group in 0-Ⅰstage, Ⅱstage and Ⅲ stage, and 2 cases, 2 cases and 2 cases of 2 port group in 0-Ⅰstage, Ⅱstage and Ⅲstage respectively based on TNM classification. No severe postoperative complication was observed. During follow-up period of medial 10（2-15） months after operation neither recurrence nor metastasis was found without death. Conclusions Radical sigmoidectomy with trans-umbilical SILS is considered feasible and safe which could be recommended in the treatment of sigmoid colon cancer.
出处
《外科理论与实践》
2016年第6期487-491,共5页
Journal of Surgery Concepts & Practice
关键词
单孔腹腔镜手术
乙状结肠癌
经脐
Single incision laparoscopic Surgery
Sigmoid colon cancer
Trans-umbilicus
