中华胃肠外科杂志
中華胃腸外科雜誌
중화위장외과잡지
CHINESE JOURNAL OF GASTROINTESTINAL SURGERY
2014年
3期
268-271
,共4页
邢加迪%杨宏%陈蕾%崔明%姚震旦%张成海%张楠%苏向前
邢加迪%楊宏%陳蕾%崔明%姚震旦%張成海%張楠%囌嚮前
형가적%양굉%진뢰%최명%요진단%장성해%장남%소향전
结肠肿瘤%全结肠系膜切除术%腹腔镜%右半结肠切除术
結腸腫瘤%全結腸繫膜切除術%腹腔鏡%右半結腸切除術
결장종류%전결장계막절제술%복강경%우반결장절제술
Colonic neoplasms%Complete mesocolic excision%Laparoscopy%Right colectomy
目的 探讨全结肠系膜切除在腹腔镜右半结肠切除术中的安全性及短期疗效.方法 回顾性分析北京大学肿瘤医院胃肠肿瘤微创外科2009年4月至2011年11月连续收治的70例右半结肠癌患者的临床资料.结果 共有65例行腹腔镜全结肠系膜切除右半结肠癌切除术患者纳入研究,全组患者手术时间120～285(中位时间185)min,术中出血量30～150(中位50)ml;中位淋巴结清扫数24枚/例;术后并发症发生率9.2％(6/65),术后中位排气时间3d,术后住院时间7d.无30 d内再住院患者及死亡患者.全组患者的2年总生存率为98.5％,2年无病生存率为83.1％.结论 在腹腔镜右半结肠切除术中应用全结肠系膜切除技术,可以达到肿瘤的根治性完整切除;且可发挥腹腔镜手术术中出血少、术后恢复快的优势,并未增加手术风险,术后短期随访疗效良好.
目的 探討全結腸繫膜切除在腹腔鏡右半結腸切除術中的安全性及短期療效.方法 迴顧性分析北京大學腫瘤醫院胃腸腫瘤微創外科2009年4月至2011年11月連續收治的70例右半結腸癌患者的臨床資料.結果 共有65例行腹腔鏡全結腸繫膜切除右半結腸癌切除術患者納入研究,全組患者手術時間120～285(中位時間185)min,術中齣血量30～150(中位50)ml;中位淋巴結清掃數24枚/例;術後併髮癥髮生率9.2％(6/65),術後中位排氣時間3d,術後住院時間7d.無30 d內再住院患者及死亡患者.全組患者的2年總生存率為98.5％,2年無病生存率為83.1％.結論 在腹腔鏡右半結腸切除術中應用全結腸繫膜切除技術,可以達到腫瘤的根治性完整切除;且可髮揮腹腔鏡手術術中齣血少、術後恢複快的優勢,併未增加手術風險,術後短期隨訪療效良好.
목적 탐토전결장계막절제재복강경우반결장절제술중적안전성급단기료효.방법 회고성분석북경대학종류의원위장종류미창외과2009년4월지2011년11월련속수치적70례우반결장암환자적림상자료.결과 공유65례행복강경전결장계막절제우반결장암절제술환자납입연구,전조환자수술시간120～285(중위시간185)min,술중출혈량30～150(중위50)ml;중위림파결청소수24매/례;술후병발증발생솔9.2％(6/65),술후중위배기시간3d,술후주원시간7d.무30 d내재주원환자급사망환자.전조환자적2년총생존솔위98.5％,2년무병생존솔위83.1％.결론 재복강경우반결장절제술중응용전결장계막절제기술,가이체도종류적근치성완정절제;차가발휘복강경수술술중출혈소、술후회복쾌적우세,병미증가수술풍험,술후단기수방료효량호.
Objective To investigate the application and short-term efficacy of laparoscopic complete mesocolic excision in right colectomy.Methods The data of continuous 70 cases of ascending colon cancer enrolled in the Peking University Cancer Hospital & Institute between April,2009 and November,2011 were analyzed retrospectively.Results A total of 65 cases received laparoscopic CME procedure and were enrolled in the final analysis.The median number of lymph nodes retrieved was 24,the median operation time was 185 min,the median blood loss was 50 ml.The overall postoperative complication rate was 9.2％ (6/65),and the median time of first flatus and post-operative hospital stay was 3 days and 7 days respectively.The median 30-day hospital readmission and postoperative death were not found.The 2-years overall survival rate and disease-free survival rate were 98.5％ and 83.1％ respectively.Conclusions Laparoscopic complete mesocolic excision in right colectomy is feasible and do not give patients extra burden.The short-term follow up reveals good efficacy.
