摘要
目的分析减孔腹腔镜术结合悬吊法与多孔腹腔镜术治疗直乙状结肠癌的疗效。方法回顾性分析2017年12月至2019年12月83例直乙状结肠癌患者的临床资料,根据术式不同,将采用5孔腹腔镜术治疗的41例患者纳入多孔组,将采用减孔腹腔镜术结合悬吊法治疗的42例患者纳入减孔组。采用SPSS 23.0软件进行处理,围术期相关指标、胃肠道生活质量指数(GIQLI评分)以(x±s)表示,采用独立样本t检验;并发症发生率用百分比表示,用χ^(2)检验。P<0.05为差异有统计学意义。结果减孔组手术时间、术中出血量低于多孔组,术后6个月GIQLI评分高于多孔组(P<0.05),两组患者淋巴结清扫数目、并发症发生率相比,差异无统计学意义(P>0.05)。结论减孔腹腔镜术结合悬吊法治疗直乙状结肠癌可与多孔腹腔镜术达到相似的淋巴结清扫数目,同时可减少手术创伤,提高患者生活质量。
Objective To analyze the curative effect of laparoscopic surgery combined with suspension and laparoscopic surgery of sigmoid colon cancer.Methods The clinical data of 83 patients with rectosigmoid colon cancer from December 2017 to December 2019 were retrospectively analyzed.According to different surgical procedures,41 patients treated with 5-hole laparoscopy were included in the multi-hole group.42 patients treated with surgery combined with suspension were included in the pore reduction group.SPSS23.0 software was used for processing,surgery-related indicators,gastrointestinal quality of life(GIQLI score)were expressed as,independent t test was performed;The incidence of complications was expressed as a percentage,χ^(2) test.P<0.05 indicates that the difference is statistically significant.ResultsThe operative time and intraoperative blood loss in the aorticoid group were lower than those of the porous group,and the GIQLI score was higher than that of the porous group at 6 months after surgery(P<0.05).There was no statistical significance in the number of lymph node dissection and the incidence of complications between the two groups(P>0.05).Conclusion Laparotomy combined with suspension can achieve a similar number of lymph node dissection,reduce operative trauma and improve patients’quality of life.
作者
陆耀
朱登峰
高平发
龚庆豪
冯国光
Lu Yao;Zhu Dengfeng;Gao Pingfa;Gong Qinghao;Feng Guoguang(Xinhua Hospital Affiliated to Shanghai Jiaotong University School of Medicine,Shanghai 202150,China;Xinhua Hospital Affiliated to Medical College of Shanghai Jiaotong University,Shanghai 202150,China)
出处
《中华普外科手术学杂志（电子版）》
2021年第6期636-638,共3页
Chinese Journal of Operative Procedures of General Surgery(Electronic Edition)
基金
上海市可持续发展科技创新项目(CKY2020-13)。
关键词
结直肠肿瘤
腹腔镜检查
疗效比较研究
悬吊法
Colorectal neoplasms
Laparoscopy
Comparative effectiveness research
Suspension method
