CAJ | 학술논문

目的：探讨腹腔镜左半结肠切除术治疗结肠癌的安全性与有效性。方法：回顾分析2007年7月至2013年12月腹腔镜左半结肠切除术治疗38例结肠癌患者的临床资料,研究其手术安全性、术后恢复情况及肿瘤根治性效果。结果：全组无严重并发症和死亡病例,2例(5.3%)中转开腹,手术时间(134.5±19.5)分钟,术中出血(22.2±10.2)ml,辅助切口长(5.5±0.7)cm,术后排气时间(2.5±0.7)天,住院时间(7.5±1.2)天,淋巴结清扫数目(18.7±4.6)枚。随访平均24(2~62)个月,2例出现远处转移,但无戳孔或切口以及局部复发。结论：腹腔镜左半结肠切除术治疗结肠癌安全有效,其结果有待多中心的随机对照研究证实。
목적：탐토복강경좌반결장절제술치료결장암적안전성여유효성。방법：회고분석2007년7월지2013년12월복강경좌반결장절제술치료38례결장암환자적림상자료,연구기수술안전성、술후회복정황급종류근치성효과。결과：전조무엄중병발증화사망병례,2례(5.3%)중전개복,수술시간(134.5±19.5)분종,술중출혈(22.2±10.2)ml,보조절구장(5.5±0.7)cm,술후배기시간(2.5±0.7)천,주원시간(7.5±1.2)천,림파결청소수목(18.7±4.6)매。수방평균24(2~62)개월,2례출현원처전이,단무착공혹절구이급국부복발。결론：복강경좌반결장절제술치료결장암안전유효,기결과유대다중심적수궤대조연구증실。
Objective To explore the feasibility and safety of laparoscopic left hemicolectomy( LLH) for descending colon cancer. Method A retrospective study of thirty-eight patients with descending colon cancer, who underwent a LLH between July 2007 and December 2013 was performed. The safety of operation, status of recovery, complica-tion, oncological clearance and results of short term follow-up were studied. Result Two cases(5. 3%) were conver-ted to open surgery. The average operative time was (134. 5±19. 5)min. The blood loss was (22. 2±10. 2)ml. The average incision length was( 5. 5±0. 7)cm. The average time for passage of flatus and hospitalization were(2. 5±0. 7)d,( 7. 5±1. 2)d respectively. The number of dissected lymph nodes was (18. 7±4. 6). The average follow-up time was 24(2~62) months and there were 2 distant metastases(5. 3%) during follow-up, but no port-site or local recurrence. Conclusion Laparoscopic left hemicolectomy is a technically safe and feasible procedure for treationg descending colon cancer. Prospective multi-center trials are necessary to establish the LLH as the standard treatment for descending colon cancer.