中华胃肠外科杂志
中華胃腸外科雜誌
중화위장외과잡지
CHINESE JOURNAL OF GASTROINTESTINAL SURGERY
2011年
1期
34-36
,共3页
邱兴烽%林立%袁思波%闫峰%丁志杰%白利平%叶志坚%林伟箭%齐忠权%刘忠臣
邱興烽%林立%袁思波%閆峰%丁誌傑%白利平%葉誌堅%林偉箭%齊忠權%劉忠臣
구흥봉%림립%원사파%염봉%정지걸%백리평%협지견%림위전%제충권%류충신
结直肠肿瘤%经脐手术%腹腔镜%单孔
結直腸腫瘤%經臍手術%腹腔鏡%單孔
결직장종류%경제수술%복강경%단공
Colorectal neoplasms%Transumbilical procedures%Laparoscopy%Single port
目的 探讨经脐单孔腹腔镜结直肠癌根治术的可行性及应用前景.方法 报告厦门大学附属中山医院胃肠外科2010年8-9月实施的4例经脐单孔腹腔镜结直肠癌根治术的手术方法和临床效果.结果 本组4例患者中乙状结肠癌3例,直肠癌1例.均顺利完成手术,无中转开腹者.手术平均用时206 min,平均出血量75ml,平均检出淋巴结21枚,脐部切口小且隐蔽.术后疼痛较轻,手术当日或次日即可下地活动;未出现发热、出血、肠瘘等并发症,于术后7～10d出院.结论 经脐单孔腹腔镜用于乙状结肠癌和高位直肠癌根治术安全可行,其远期疗效有待进一步观察.
目的 探討經臍單孔腹腔鏡結直腸癌根治術的可行性及應用前景.方法 報告廈門大學附屬中山醫院胃腸外科2010年8-9月實施的4例經臍單孔腹腔鏡結直腸癌根治術的手術方法和臨床效果.結果 本組4例患者中乙狀結腸癌3例,直腸癌1例.均順利完成手術,無中轉開腹者.手術平均用時206 min,平均齣血量75ml,平均檢齣淋巴結21枚,臍部切口小且隱蔽.術後疼痛較輕,手術噹日或次日即可下地活動;未齣現髮熱、齣血、腸瘺等併髮癥,于術後7～10d齣院.結論 經臍單孔腹腔鏡用于乙狀結腸癌和高位直腸癌根治術安全可行,其遠期療效有待進一步觀察.
목적 탐토경제단공복강경결직장암근치술적가행성급응용전경.방법 보고하문대학부속중산의원위장외과2010년8-9월실시적4례경제단공복강경결직장암근치술적수술방법화림상효과.결과 본조4례환자중을상결장암3례,직장암1례.균순리완성수술,무중전개복자.수술평균용시206 min,평균출혈량75ml,평균검출림파결21매,제부절구소차은폐.술후동통교경,수술당일혹차일즉가하지활동;미출현발열、출혈、장루등병발증,우술후7～10d출원.결론 경제단공복강경용우을상결장암화고위직장암근치술안전가행,기원기료효유대진일보관찰.
Objective To evaluate the surgical outcomes after transumbilical single-port access laparoscopic surgery for colorectal cancer. Methods Patients undergoing transumbilical single-port access laparoscopic radical resection for colorectal cancer at the Zhongshan Hospital of Xiamen University were included. Results Three patients underwent transumbilical single-port access laparoscopic radical resection for sigmoid colon cancer and 1 for rectal cancer between August 2010 and September 2010. There were no intraoperative or postoperative complications. No conversion was required. The mean operative time was 206 min and the mean estimated blood loss was 75 mi. The mean number of harvested lymph nodes was 21. Patients were ambulatory in the same day of surgery or postoperative day 1. Length of hospital stay ranged from 7 to 10 days. Conclusions Transumbilical single-port access laparoscopic surgery is safe for colorectal cancer. Long-term outcomes warrant further investigation.
