CAJ | 학술논문

目的：探讨腹腔手术史对腹腔镜辅助结直肠癌手术的影响，以及腹腔镜在既往有手术史的结直肠癌患者治疗中的可行性及安全性。方法回顾性分析148例既往有腹腔手术史的腹腔镜辅助结直肠癌手术患者的临床资料，对比分析同期673例既往无腹腔手术史的腹腔镜辅助结直肠癌手术病例。结果腹腔手术史合并结直肠癌约占18%(148/821)，腹腔手术史对腹腔镜辅助结直肠癌手术的手术时间、术中出血、中转开腹、术后并发症(术后出血、吻合口漏、肠梗阻、腹腔感染、二次手术)、术后排气时间、平均住院时间、手术切缘、平均清扫淋巴结数目无影响(P均>0.05)。结论腹腔手术史对腹腔镜辅助结直肠癌手术围术期无明显影响。腹腔镜手术对于既往有腹腔手术史的结直肠癌患者的治疗是安全可行的。
목적：탐토복강수술사대복강경보조결직장암수술적영향，이급복강경재기왕유수술사적결직장암환자치료중적가행성급안전성。방법회고성분석148례기왕유복강수술사적복강경보조결직장암수술환자적림상자료，대비분석동기673례기왕무복강수술사적복강경보조결직장암수술병례。결과복강수술사합병결직장암약점18%(148/821)，복강수술사대복강경보조결직장암수술적수술시간、술중출혈、중전개복、술후병발증(술후출혈、문합구루、장경조、복강감염、이차수술)、술후배기시간、평균주원시간、수술절연、평균청소림파결수목무영향(P균>0.05)。결론복강수술사대복강경보조결직장암수술위술기무명현영향。복강경수술대우기왕유복강수술사적결직장암환자적치료시안전가행적。
Objective To investigate the treatment and safety of laparoscopic-assisted surgery of cancer with abdomi-nal operation history. MethOd 148 cases of rectal and colonic cancer with abdominal operation history and 673 cases colorectal cancer without abdominal operation history under the laparoscopic-assisted surgery were retrospectively in-vestigated in this study. Result Patients with history of colorectal cancer surgery account for about 18% (148/821) of total patients. There was no significant differences between these two groups in operative time , blood loss , lapa-rotomy , postoperative complications ( postoperative bleeding , anastomotic leak , ileus , postoperative abdominal infection, secondary surgery ) , postoperative discharge time, the average length of hospital stay, surgical margin, the average number of dissected lymph nodes (P>0. 05). COnclusiOn Abdominal operation history has no significant influence in the laparoscopic-assisted reoperation. The laparoscopic reoperation for colorectal cancer patients with ab-dominal operation history is safe and feasible.