CAJ | 학술논문

目的：探讨腹腔镜下一期同时切除结直肠癌和肝转移癌的安全性及可行性。方法回顾性分析2011年1月至2013年10月期间在中山大学孙逸仙纪念医院完成的腹腔镜下结直肠癌和肝转移癌一期同时切除手术的11例患者的病例资料，对该术式的可行性（中转开腹率、手术时间及术中出血量）、安全性（术后并发症）及疗效（术后恢复、复发及生存情况）进行评估。结果全组11例患者手术均取得成功，无中转开腹病例。手术时间（284．6±28．8） min，术中出血量（322．7±75．4） ml，术后肛门排气时间（2．9±0．7） d，术后住院时间（12．3±1．9） d。全组患者术后未出现肠瘘、胆瘘、腹腔大出血、腹腔感染及肝功能衰竭等并发症。术后随访时间3～35月，除1例患者因肿瘤转移死亡外，其余病例未见肿瘤复发。结论对于经过选择的合适病例，腹腔镜下同时切除结直肠癌和肝转移癌是安全、可行的。
목적：탐토복강경하일기동시절제결직장암화간전이암적안전성급가행성。방법회고성분석2011년1월지2013년10월기간재중산대학손일선기념의원완성적복강경하결직장암화간전이암일기동시절제수술적11례환자적병례자료，대해술식적가행성（중전개복솔、수술시간급술중출혈량）、안전성（술후병발증）급료효（술후회복、복발급생존정황）진행평고。결과전조11례환자수술균취득성공，무중전개복병례。수술시간（284．6±28．8） min，술중출혈량（322．7±75．4） ml，술후항문배기시간（2．9±0．7） d，술후주원시간（12．3±1．9） d。전조환자술후미출현장루、담루、복강대출혈、복강감염급간공능쇠갈등병발증。술후수방시간3～35월，제1례환자인종류전이사망외，기여병례미견종류복발。결론대우경과선택적합괄병례，복강경하동시절제결직장암화간전이암시안전、가행적。
Objective To investigate the safety and feasibility of simultaneous laparoscopic resection of colorectal carcinoma and synchronous liver metastasis. Methods Clinical data of 11 patients undergoing simultaneous laparoscopic resection of colorectal carcinoma and synchronous liver metastasis in our hospital from January 2011 to October 2013 were reviewed retrospectively. Feasibility , safety and efficacy of this procedure were investigated. Results Procedure was completely successful in all the cases without conversion. The mean operation time was (284.6±28.8) min and the mean blood loss was (322.7±75.4) ml. The mean time to intestinal function recovery was (2.9±0.7) d and the mean hospital stay was (12.3 ±1.9) d. There were no anastomosis leakage, bile leakage, abdominal massive bleeding or infection, and liver failure after operation. During follow-up of 3-35 months, only one patient died of tumor progression. Conclusion Laparoscopic approach for colorectal carcinoma and synchronous liver metastasis is safe and feasible in selected patients.