CAJ | 학술논문

目的：探讨管形吻合器乙状结肠造口术在腹腔镜下腹会阴切除术（L A PR ）中的临床应用价值。方法回顾分析2010年10月至2013年2月，于L A PR术中行管形吻合器乙状结肠单腔造口34例（A组）；同期L A PR术中采用传统手工缝合法行乙状结肠单腔造口28例（B组）。术后对两种造口方法从手术时间、术后造口排气时间、术后平均住院日、造口相关并发症发生率进行统计分析。结果两组无中转开腹，无手术死亡病例。A组手术时间、术后造口排气时间、术后平均住院日、造口肠管水肿发生率均低于B组，差异有统计学意义（P＜0．05）。结论管形吻合器乙状结肠造口术应用于LAPR可进一步减小患者创伤，缩短手术时间，加快患者术后恢复，减少术后并发症发生，值得推广。
목적：탐토관형문합기을상결장조구술재복강경하복회음절제술（L A PR ）중적림상응용개치。방법회고분석2010년10월지2013년2월，우L A PR술중행관형문합기을상결장단강조구34례（A조）；동기L A PR술중채용전통수공봉합법행을상결장단강조구28례（B조）。술후대량충조구방법종수술시간、술후조구배기시간、술후평균주원일、조구상관병발증발생솔진행통계분석。결과량조무중전개복，무수술사망병례。A조수술시간、술후조구배기시간、술후평균주원일、조구장관수종발생솔균저우B조，차이유통계학의의（P＜0．05）。결론관형문합기을상결장조구술응용우LAPR가진일보감소환자창상，축단수술시간，가쾌환자술후회복，감소술후병발증발생，치득추엄。
Objective To evaluate the value of circular anastomotic stapler for sigmoid colostomy in laparoscopy abdominoperi-neal resection .Methods 62 patients of low colorectal cancer treated in our hospital from October 2010 to February 2013 was retro-spectively analyzed .All the patients were treated by laparoscopy abdominoperineal resection ,34 patients received sigmoid colostomy with circular anastomotic stapler(group A) ,and the other 28 patients received sigmoid colostomy with conventional suturing tech-niques(group B) .The medical records including operation time ,the time of return of bowl function ,postoperative hospital stay and postoperative complication rate were analysed statistically .Results All patients received the operations successfully .No conversion to open procedure and no operative death occured in two groups .The result of statistical analysis showed that in group A ,the opera-tion time ,the time of return of bowl function ,postoperative hospital stay time were shorter than group B ,and the rate of edema of sigmoid in group A were lower than group B(P<0 .05) .Conclusion The application of circular anastomotic stapler for sigmoid co-lostomy in LAPR is a safe ,effective and minimally invasive technique ,which can shorten operation time ,postoperative hospital stay and reduce the related complications of colostomy .