CAJ | 학술논문

目的探讨手辅助腹腔镜技术(HALS)在结直肠肿瘤手术中的安全性和有效性.方法回顾性分析接受HALS治疗的70例结直肠癌患者的临床资料.结果 70例患者中男性38例,女性32例,中位年龄61岁.乙状结肠腺瘤4例,乙状结肠癌48例,降结肠癌3例,升结肠癌1例,直肠癌13例,全结肠切除1例.所有患者均顺利完成HALS,无中转开腹病例.手术时间为(126.0±22.5)min;术中出血(75.0±18.8)ml;平均清扫淋巴结(16.8±4.2)枚.术后平均住院9.4 d.无围手术期死亡病例,术后1例患者出现吻合口狭窄,2例吻合口瘘,均经保守治疗好转.结论 HALS用于结肠癌手术创伤小、易掌握、安全性高,具有良好应用前景.
목적 탐토수보조복강경기술(HALS)재결직장종류수술중적안전성화유효성.방법 회고성분석접수HALS치료적70례결직장암환자적림상자료.결과 70례환자중남성38례,녀성32례,중위년령61세.을상결장선류4례,을상결장암48례,강결장암3례,승결장암1례,직장암13례,전결장절제1례.소유환자균순리완성HALS,무중전개복병례.수술시간위(126.0±22.5)min;술중출혈(75.0±18.8)ml;평균청소림파결(16.8±4.2)매.술후평균주원9.4 d.무위수술기사망병례,술후1례환자출현문합구협착,2례문합구루,균경보수치료호전.결론 HALS용우결장암수술창상소、역장악、안전성고,구유량호응용전경.
Objective To evaluate the safety and efficacy of hand-assisted laparoscopic surgery (HALS) in colorectal tumors. Methods Clinical data of 70 patients with colorectal tumors were retrospectively analyzed. All the patients had received HALS colectomy in the Beijing Cancer Hospital. Lapdisc was used for the hand port at the umbilicus. Two additional trocars were used. Results There were 38 males and 32 females. The median age was 61(29-89) years. Diagnoses included sigmoid cancer(n=48), sigmoid adenoma(n=4), descending colon cancer(n=3), ascending colon cancer(n=1),rectal cancer (n=13), total colectomy (n=1). The operative time was (126.0 ±22.5) minutes. The intraoperative blood loss was (75.0±18.8) ml. The mean number of lymph node dissection was (16.8±4.2). The median postoperative hospital stay was 9.4 days. There were no perioperative deaths. One patient developed anastomotic stricture and two anastomotic leak, all of which were successfully managed with conservative treatment. Conclusion HALS is a safe and effective technique for colectomy.