腹腔镜外科杂志2016，Vol.21Issue(10)：737-741,5.DOI:10.13499/j.cnki.fqjwkzz.2016.10.737
结肠内支架联合腹腔镜结肠癌根治术在结肠癌合并急性梗阻中的短期及中期疗效分析
The short-and mid-term efficacy of self-expanding metallic stent and radical laparoscopic colectomy in the curable colon cancer with acute obstruction
何耀彬 1赵小青 1张北平 1万进 1邹瞭南1
作者信息
- 1. 广州中医药大学第二附属医院，广东 广州，510120
- 折叠
摘要
Abstract
Objective:To investigate the short-and mid-term efficacy of self-expanding metallic stent and radical laparoscopic colectomy in the curable colon cancer with acute obstruction.Methods:Fifty-six patients with colonic carcinoma and acute obstruction received self-expanding metallic stent placement and radical laparoscopic colectomy between Apr.2010 and Jun.2013 ( therapy group) . And 62 patients with colon cancer and acute obstruction were treated by conventional emergency open surgery in the same period ( con-trol group) .The short term clinical data and mid-term oncological survival data were compared between the two groups.Results:The therapy group revealed less blood loss in the operation [(55.2 ±31.0) ml vs.(113.6 ±73.0) ml],more dissected lymph nodes [(20.0 ±5.1) vs.(15.4 ±5.2)],shorter postoperative hospital stay [(7.3 ±2.1) d vs.(11.6 ±3.2) d],lower incidence of stoma (8.9%vs.67.7%),anastomotic leakage (2.0%vs.15.0%) and incision infection (3.6%vs.16.1%) than the control group (P<0.05).There were no significant differences in 3-year local recurrent rate (17.9% vs.19.4%),3-year disease-free survival (64.3%vs.62.9%) and 3-year overall survival (78.6% vs.75.8%) between the two groups (P>0.05).Conclusions:Self-ex-panding metallic stent and radical laparoscopic colectomy shows better short-term outcome and non-inferiority in mid-term oncological survival in the curable colon cancer and acute obstruction.关键词
结肠肿瘤/急性肠梗阻/结肠癌根治术/腹腔镜检查/结肠内支架Key words
Colonic neoplasms/Acute intestinal obstruction/Radical colectomy/Laparoscopy/Intracolonic stent分类
医药卫生引用本文复制引用
何耀彬,赵小青,张北平,万进,邹瞭南..结肠内支架联合腹腔镜结肠癌根治术在结肠癌合并急性梗阻中的短期及中期疗效分析[J].腹腔镜外科杂志,2016,21(10):737-741,5.
