中国实用外科杂志2016，Vol.36Issue(11)：1183-1186,4.DOI:10.7504/CJPS.ISSN1005-2208.2016.11.12
关闭盆底腹膜联合骶前冲洗负压引流用于机器人直肠癌腹会阴联合切除术疗效分析
Application of pelvic peritoneum reconstuction accompanied with irrigation and negative pressure drainage in robotic abdominoperineal resection for rectal cancer
摘要
Abstract
Objective To explore feasibility and efficacy of pelvic peritoneum reconstuction (PPR) accompanied with irrigation and negative pressure drainage after robotic abdominoperineal resection (APR) for rectal cancer. Methods The clinical data of 59 cases of low-rectal cancer patients treated from December 2014 to April 2016 in the First Affiliated Hospital of Nanchang University were analyzed retrospectively. Among all the cases, 31 cases received PPR accompanied with irrigation and negative pressure drainage in robotic APR (closed group) and 28 cases received gravity drainage without PPR (unclosed group). Operative and postoperative details were compared between two groups. Results No conversion occurred in the two groups. The pelvic peritoneum was closed successfully in closed group. There was no significant difference between the two groups in terms of operation time[(186.6 ± 23.0) min vs. (176.9 ± 19.4)min,P=0.088],incidence of perineal hernia[0(0/31) vs. 7.1%(2/28),P=0.221]and incidence of intestinal obstruction[3.2%(1/31) vs. 10.7%(3/28),P=0.337]. Compared with unclosed group,closed group displayed lower incision infection rate [6.5%(2/31) vs. 32.1%(9/28),P=0.011]. The intra-oprerative blood loss,the number of retrieved lymph node,positive circumferential resection margin and time to remove the drainage tube were similar between two groups. One case of tumor recurrence occurred in unclosed group. Conclusion PPR is necessary after robotic APR for rectal cancer,which accompanied with irrigation and negative pressure drainage might significantly reduce incidence of complications.关键词
机器人手术系统/直肠肿瘤/盆底腹膜/负压引流/腹会阴联合切除术Key words
robotic surgical system/rectal neoplasms/pelvic peritoneum/negative pressure drainage/abdominoperineal resection分类
医药卫生引用本文复制引用
曹传林,刘东宁,唐城,江群广,端木尽忠,李太原..关闭盆底腹膜联合骶前冲洗负压引流用于机器人直肠癌腹会阴联合切除术疗效分析[J].中国实用外科杂志,2016,36(11):1183-1186,4.基金项目
江西省科技厅科技计划基金项目 （）
