解放军医学院学报2017，Vol.38Issue(1)：26-29,4.DOI:10.3969/j.issn.2095-5227.2017.01.007
腹腔镜下同期结直肠癌和肝转移灶切除术的安全性和疗效分析
Safety and effectiveness of simultaneous laparoscopic resection for colorectal cancer and synchronous liver metastasis
郭玉霖 1杨培 1徐晓 1李晨 1王麦焕 1董光龙1
作者信息
- 1. 解放军总医院 普通外科,北京 100853
- 折叠
摘要
Abstract
Objective To observe the outcomes and prognosis of patients undergoing simultaneous laparoscopic resection of colorectal cancer and synchronous liver metastasis.Methods A retrospective cohort study was performed in 41 patients with colorectal cancer and synchronous liver metastasis admitted to our department from January 1, 2011 to August 1, 2013. Of the 41 cases, 18 underwent simultaneous resection of colorectal cancer and liver metastasis by laparoscopic approach and 23 by open approach. There were no significant differences in general characteristics between two groups. All available clinical and pathologic data, perioperative results and survival outcomes were collected and compared.Results Estimated blood loss [(198.33±180.66) mlvs(686.96± 665.76) ml,P=0.004)], intraoperative blood transfusion cases (11vs3,P=0.037) in open group were significantly higher than those of the laparoscopic group, and postoperative length of hospital stay in open group was longer than that of laparoscopic group [(12.00±5.77) dvs (16.61±8.12) d,P=0.048)]. No significant difference was observed in postoperative complications, operating time and three-year overall survival rate between the two groups.Conclusion For colorectal cancer patients simultaneous laparoscopic resection for colorectal cancer and synchronous liver metastasis is safe and effective, and achieves similar prognosis as open approach with less blood loss and shorter length of hospital stay.关键词
结直肠癌/肝转移/腹腔镜Key words
colorectal cancer/liver metastasis/laparoscopy分类
医药卫生引用本文复制引用
郭玉霖,杨培,徐晓,李晨,王麦焕,董光龙..腹腔镜下同期结直肠癌和肝转移灶切除术的安全性和疗效分析[J].解放军医学院学报,2017,38(1):26-29,4.
