摘要
目的比较减孔腹腔镜手术(RPS)和常规多孔腹腔镜手术(MPS)治疗结肠癌的近期疗效。方法研究对象为2014年1月至2018年12月在我院治疗的190例结肠癌患者。治疗采用腹腔镜前切除术(AR)144例或右半结肠切除术(RHC)46例。比较AR及RHC手术中采用RPS或MPS治疗患者的短期疗效。结果在AR中,与行MPS 72例患者相比,RPS 72例患者手术时间短[(114±28)min与(126±35)min,P=0.024],气道通畅时间长[(3.6±1.7)d与(2.5±1.4)d, (P<0.01)]。在RHC中,行RPS患者(23例)手术时间较MPS (23例)短[(112±26)min与(146±32)min,(P<0.01)]。结论与MPS治疗结肠癌相比,RPS的短期疗效是可接受的。
Objective To compare the short-term outcomes of reduced-port laparoscopic surgery(RPS)and multiport surgery(MPS)in colon cancer.Methods The subjects were 190 patients with colon cancer treated in our hospital from January 2014 to December 2018.They were divided into laparoscopic anterior resection group(AR)(n=144)and right hemicolectomy group(RHC)(n=46).The short-term effects of RPS or MPS in AR and RHC were compared.Results In the AR,patients who underwent RPS(n=72)showed a shorter operation time[(114±28)min vs.(126±35)min,P=0.024]and a longer time to gas passage[(3.6±1.5)d vs.(2.5±1.4)d,P<0.01]than MPS(n=72).Similarly,in the RHC,the operation time was shorter[(112±26)min vs.(146±32)min,P<0.01].Conclusion The short-term outcomes of RPS were found to be acceptable compared to those of MPS in colon cancer surgery.
作者
任华
Ren Hua(Department of General Surgery,Datong Fifth People′s Hospital,Shanxi 037009,China)
出处
《山西医药杂志》
CAS
2020年第17期2269-2271,共3页
Shanxi Medical Journal
关键词
减孔腹腔镜手术
多孔腹腔镜手术
结肠肿瘤
Reduced-port laparoscopic surgery
Multiport laparoscopic surgery
Colonic neoplasms
