CAJ | 학술논문

目的：探讨腹腔镜全结肠系膜切除术（complete mesocolic excision，CME）的可行性、安全性及有效性。方法：回顾分析2012年6月—2014年6月在江苏省常熟市第一人民医院普外科行腹腔镜 CME 的21例患者（腔镜组）与行结肠癌开腹手术的27例患者（开腹组）的临床资料。比较2组患者术中出血量、淋巴结清扫数目，术后开始下床时间、肛门排气时间、进半流食时间，住院天数、住院费用和并发症情况。结果：腔镜组与开腹组性别、年龄、分化程度、TNM 分期、淋巴结清扫数目、并发症发生率差异均无统计学意义（P ＞0．05）；腔镜组术中出血量、术后开始下床时间、肛门排气时间、进半流食时间、住院天数、住院费用均少于或早于开腹组（P ＜0．05、0．01）。结论：腹腔镜 CME 安全、可行、有效，较开腹手术存在多方面的优势。
목적：탐토복강경전결장계막절제술（complete mesocolic excision，CME）적가행성、안전성급유효성。방법：회고분석2012년6월—2014년6월재강소성상숙시제일인민의원보외과행복강경 CME 적21례환자（강경조）여행결장암개복수술적27례환자（개복조）적림상자료。비교2조환자술중출혈량、림파결청소수목，술후개시하상시간、항문배기시간、진반류식시간，주원천수、주원비용화병발증정황。결과：강경조여개복조성별、년령、분화정도、TNM 분기、림파결청소수목、병발증발생솔차이균무통계학의의（P ＞0．05）；강경조술중출혈량、술후개시하상시간、항문배기시간、진반류식시간、주원천수、주원비용균소우혹조우개복조（P ＜0．05、0．01）。결론：복강경 CME 안전、가행、유효，교개복수술존재다방면적우세。
Objective:To explore the feasibility,safety and effectiveness of laparoscopic complete mesocolic excision (CME). Methods:A retrospective analysis was done on clinical data of 21 patients who underwent laparoscopic and 27 patients who un-derwent open surgery from Jun 2012 to Jun 2014 in Changshu First People's Hospital.Blood loss,numbers of removed lymph nodes,time of getting out of bed,anal exhaust time,time of eating half-flow food,hospital stay,hospital costs,complications were compared between the two groups.Results:No significant difference was found in gender,age,degree of differentiation, TNM stage,numbers of removed lymph nodes and the complication rates (P >0.05)between the two groups.The blood loss, beginning time of getting out of bed,anal exhaust time,time of eating half-flow food,hospital stay,hospital cost in laparoscopic group were less or earlier than those in the open group (P <0.05,0.01).Conclusions:Laparoscopic CME is safe,feasible and effective,and has many advantages than open surgery.