摘要
目的 探究对比单孔加一孔腹腔镜乙状结肠癌根治术与传统五孔法腹腔镜乙状结肠癌根治术的短期效果及优劣势。方法 回顾性收集2019年11月—2021年11月期间于龙岩市第二医院胃肠外科完成腹腔镜乙状结肠癌根治术的60例患者的临床数据,按照手术方法进行分组,其中26例患者行单孔加一孔法,纳入SILS+1组,另外34例患者行传统五孔法,纳入五孔腔镜组。研究对比两组患者的术中指标、并发症情况。结果 两组在手术时长[(3.53±0.82)h vs (3.57±0.63)h]、术中出血量[(32.30±19.24)mL vs (33.97±21.55)mL]、淋巴结清扫数量[(20.08±8.40) vs (22.84±6.54)]对比,差异无统计学意义(t=0.214、0.310、1.382,P>0.05)。结论 单孔加一孔腹腔镜乙状结肠癌根治术安全、有效、可行。
Objective To explore and compare the short-term effects,advantages and disadvantages of single plus one hole laparoscopic radical resection of sigmoid carcinoma and traditional five-hole laparoscopic radical resection of sigmoid carcinoma.Methods The clinical data of 60 patients who underwent laparoscopic radical sigmoidostomy in the Department of Gastrointestinal Surgery of Longyan Second Hospital from November 2019 to November 2021 were retrospectively collected and grouped according to the surgical method.Among them,26 patients were treated with single-hole plus one-hole method and included in the SILS+1 group,and 34 patients were treated with traditional five-hole method and included in the five-hole endoscopic group.The intraoperative indexes and complications of the two groups were compared.Results There was no statistically significant difference between the two groups in the operation duration [(3.53±0.82) h vs(3.57±0.63) h],intraoperative blood loss [(32.30±19.24) mL vs(33.97±21.55) mL],lymph node clearance [(20.08±8.40) vs(22.84±6.54)](t=0.214,0.310,1.382,P>0.05).Conclusion Laparoscopic radical operation of sigmoid carcinoma with single plus one port is safe,effective and feasible.
作者
朱柏炼
王之旭
何庆生
邱剑文
赖扬城
陈真
ZHU Bailian;WANG Zhixu;HE Qingsheng;QIU Jianwen;LAI Yangcheng;CHEN Zhen(Department of Gastrointestinal Surgery,Longyan Second Hospital,Longyan,Fujian Province,364000 China;Minxi Vocational&Technical College,Longyan,Fujian Province,364000 China)
出处
《中外医疗》
2022年第35期5-9,共5页
China & Foreign Medical Treatment
关键词
单孔加一孔
腹腔镜手术
乙状结肠癌
Single hole plus one hole
Laparoscopic surgery
Sigmoid carcinoma
