CAJ | 학술논문

目的评价腹腔镜下次全结肠切除术的安全性、有效性与可行性.方法回顾性分析武汉市协和医院2002~2007年接受次全结肠切除术的48例慢传输型便秘患者,分为开腹组(21例)和腹腔镜组(27例),比较两组患者的一般情况、手术情况、术后情况以及疗效评价.结果 48例均行次全结肠切除术,两组患者一般情况、手术时间、术后肠道功能恢复时间以及便秘症状改善率等差异均无统计学意义,但腹腔镜组在术中出血量、术后止痛剂使用次数、引流管引流量、伤口并发症及术后住院时间等方面均优于开腹组.结论腹腔镜行次全结肠切除术治疗慢传输型便秘安全、有效、可行.
목적 평개복강경하차전결장절제술적안전성、유효성여가행성.방법 회고성분석무한시협화의원2002~2007년접수차전결장절제술적48례만전수형편비환자,분위개복조(21례)화복강경조(27례),비교량조환자적일반정황、수술정황、술후정황이급료효평개.결과 48례균행차전결장절제술,량조환자일반정황、수술시간、술후장도공능회복시간이급편비증상개선솔등차이균무통계학의의,단복강경조재술중출혈량、술후지통제사용차수、인류관인류량、상구병발증급술후주원시간등방면균우우개복조.결론 복강경행차전결장절제술치료만전수형편비안전、유효、가행.
Objective To evaluate the safety,efficacy and feasibility of laparoscopic subtotal colectomy.Methods Fortyeight patients with slow transit constipation receiving subtotal colectomy from 2002 to 2007 in our hospital were retrospectively analyzed,and divided into open group (21 cases) and laparoscopic group(27 cases).General conditions,surgery conditions,postoperative conditions,as well as curative effectiveness were compared between the two groups.Results All the 48 cases received subtotal colectomy.There was no significanct difference in general conditions,operative time.postoperative recovery of bowel function and the improvement rate of the symptoms between the two groups.But there was significant difference in the volume of blood loss,uses of analgesics,drainage,incidence of wound complications and postoperative hospital stay between the two groups.Conclusion Laparoscopic subtotal colectomy for slow transit constipation is safe,effective and feasible.