CAJ | 학술논문

目的探讨手助腹腔镜结直肠癌肝转移一期同步切除术的可行性和安全性.方法回顾性分析浙江省结直肠疾病诊治中心2009年8月—2010年3月实施的6例手助腹腔镜结直肠癌肝转移一期同步切除术的临床资料.结果 6例手术均取得成功,无中转开腹；平均手术时间(183±45)min,术中平均出血(165±70)ml；术后平均肠功能恢复时间(69.4±10.5)h,术后平均住院时间(9.5±3.2)d；6例患者术中及术后均未发生严重并发症.6例均予以化疗并随访至术后30个月,其中1例患者因肿瘤腹腔广泛转移而死亡,其余5例未见肿瘤复发.结论手助腹腔镜结直肠癌肝转移一期同步切除术是安全可行的.
목적 탐토수조복강경결직장암간전이일기동보절제술적가행성화안전성.방법 회고성분석절강성결직장질병진치중심2009년8월—2010년3월실시적6례수조복강경결직장암간전이일기동보절제술적림상자료.결과 6례수술균취득성공,무중전개복；평균수술시간(183±45)min,술중평균출혈(165±70)ml；술후평균장공능회복시간(69.4±10.5)h,술후평균주원시간(9.5±3.2)d；6례환자술중급술후균미발생엄중병발증.6례균여이화료병수방지술후30개월,기중1례환자인종류복강엄범전이이사망,기여5례미견종류복발.결론 수조복강경결직장암간전이일기동보절제술시안전가행적.
Objective To evaluate the feasibility and safety of hand-assisted laparoscopic one-stage operation for colorectal cancer with single hepatic metastasis.Methods The clinical data of 6 patients of colorectal cancer with single hepatic metastasis treated with hand-assisted laparoscopic one-stage operation between Aug 2009 and Mar 2010 were analyzed retrospectively.Result Procedures were completed successfully in all cases and there was no conversion to open surgery.The mean operation time was (183 ±45) min,the mean blood loss in operation was (165 ±70) ml,the mean time to intestinal function recovery was (69.4 ± 10.5) h,and the average length of stay was (9.5 ±3.2) d.There was no major intraoperative or postoperative complications.All the patients received chemotherapy and up to 30 months follow-up found good condition in all but one dying of widespread intraabdominal tumor metastasis.Conclusions Handassisted laparoscopic one-stage operation for colorectal cancer with hepatic metastasis is feasible and safe.