中国实用外科杂志2017，Vol.37Issue(3)：276-280,5.DOI:10.19538/j.cjps.issn1005-2208.2017.03.16
减孔与多孔腹腔镜手术治疗直肠癌临床疗效对比研究
Comparative study of clinical curative effect on reduced incision laparoscopic surgery and multi-incision laparoscopic surgery in rectal cancer
摘要
Abstract
Objective To investigate the short-term and long-term clinical curative effects on redued incision laparoscopic surgery and multi-incision laparoscopic surgery in rectal cancer. Methods A retrospective study of 124 cases of rectal cancer admitted from June 2010 to June 2012 in Liaoning Cancer Hospital was conducted,in which were excluded the cases with high years old and dysfunction of the heart and lung or the other important viscera,and with the distance less than 6 cm from the inferior tumor margin to the anal edge and the rectal cancer of theⅠandⅣstages. A total of 62 cases proceeded the reduced incision laparoscopic surgery(reduced incision group)and 62 cases undergone the multi-incision laparoscopic surgery(multi-incision group)simultaneously. Results Two groups had no statistically significant difference in operative time, intraoperative bleeding, the number of lymph node harvest, the incidence of anastomotic leakage and anus reserved, completeness of specimen, distance to proximal margin,ditance to distal margin, positive rate of circumferencial resection margin (CRM) and distal resection margin (DRM), local recurrence rate, 3-year disease free survival rate, 3-year overall survival rate, etc.( all P>0.05).But the total length of incision,postoperative pain score of the first and the second day,anal exhausting time,independently walking for the first time between two groups had statistically significant diferences( all P<0.05). Conclusion Reduced incision laparoscopic rectal cancer surgery can decrease the total length of incision, lower postoperative pain degree,shorten anal exhausting time,and improve cosmetic effect. And the kind of approach does not prolong operative time significantly,and the quality of tumor resection,and 3-year disease free survival rate, 3-year overall survival rate are not inferior to multi-incision laparoscopic surgery.关键词
直肠癌/腹腔镜手术/单孔腹腔镜手术/腹腔镜内镜单孔手术/减孔腹腔镜手术Key words
rectal cancer/laparoscopic surgery/single incision laparoscopic surgery (SILS)/laparoscopic endo single incision surgery (LESS)/redued incision laparoscopic surgery分类
医药卫生引用本文复制引用
张庆彤,刘亚莉,张旭,王永鹏,闫晓菲,宋纯..减孔与多孔腹腔镜手术治疗直肠癌临床疗效对比研究[J].中国实用外科杂志,2017,37(3):276-280,5.基金项目
辽宁省科技厅自然科学基金项目(No.2015020260) （No.2015020260）
