CAJ | 학술논문

目的:探讨运用术前肠道支架减压联合腹腔镜手术,在治疗梗阻性左侧大肠癌Ⅰ期切除吻合术中的安全性和有效性.方法:回顾性分析浙江中医药大学附属第一医院胃肠外科于2008年3月至2011年12月梗阻性左侧大肠癌患者21例,术前行结肠镜下肠道支架置入解除肠梗阻,7~10 d后行腹腔镜下大肠癌根治性切除术.结果:20例患者腹腔镜手术成功,1例因肿瘤侵犯左侧输尿管而中转开腹;手术时间180~320 min,平均220 min;术后肠功能恢复时间2~5 d,平均3 d;1例出现切口感染,无吻合口漏发生.结论:术前肠道支架减压联合腹腔镜Ⅰ期手术是治疗梗阻性左侧大肠癌安全有效的方法.
목적:탐토운용술전장도지가감압연합복강경수술,재치료경조성좌측대장암Ⅰ기절제문합술중적안전성화유효성.방법:회고성분석절강중의약대학부속제일의원위장외과우2008년3월지2011년12월경조성좌측대장암환자21례,술전행결장경하장도지가치입해제장경조,7~10 d후행복강경하대장암근치성절제술.결과:20례환자복강경수술성공,1례인종류침범좌측수뇨관이중전개복;수술시간180~320 min,평균220 min;술후장공능회복시간2~5 d,평균3 d;1례출현절구감염,무문합구루발생.결론:술전장도지가감압연합복강경Ⅰ기수술시치료경조성좌측대장암안전유효적방법.
@@@@Objective: This work aimed to study the safety and effectiveness of preoperative intestinal stent decompression com-bined with laparoscopic surgery for the treatment of left-sided colorectal cancer with obstruction (LCCO). Methods: A retrospective analysis of data from 21 LCCO patients admitted to the First Affiliated Hospital of Zhejiang Chinese Medicine University from March 2008 to December 2011 was conducted. Preoperative intestinal stent placement under colonoscopic guidance was performed to remove the intestinal obstruction. About 7 d to 10 d afterwards, laparoscopic radical surgery of the colorectal cancer was carried out. Results:Among the 21 cases studied, laparoscopic surgery was successful in 20 patients. Emergent laparotomy was conducted in 1 patient be-cause of tumor invasion of the ureter. Operation times ranged from 180 min to 320 min, and the average time was 220 min. Recovery times of bowel function ranged from 2 d to 5 d, and the average time was 3 d. Postoperative infection of the incision occurred in 1 case. No anastomotic leakage was seen in any of the cases. Conclusion: Preoperative intestinal stent decompression combined with primary stage laparoscopic surgery is a safe and effective method for treating left-sided obstructive colorectal cancer.