CAJ | 학술논문

目的：探讨腹腔镜结合“蓝碟”行双原发结直肠癌手术技巧及临床疗效。方法回顾性分析2009年9月至2014年5月唐山市人民医院胃肠外科应用腹腔镜与“蓝碟”相结合对5例双原发结直肠癌患者实施双原发癌根治性手术的临床资料。结果5例患者手术均获得成功，无1例中转开腹，无围手术期死亡，手术平均时间185min；术中平均出血115 ml，切除淋巴结总数平均为30个。术后恢复良好，无切口感染、吻合口瘘等并发症。结论对于无远处转移的同时性双原发结直肠癌应用腹腔镜与“蓝碟”相结合实施双原发癌根治性切除手术，安全、可行，可减轻对患者的创伤，并可以获得良好的治疗效果。
목적：탐토복강경결합“람설”행쌍원발결직장암수술기교급림상료효。방법회고성분석2009년9월지2014년5월당산시인민의원위장외과응용복강경여“람설”상결합대5례쌍원발결직장암환자실시쌍원발암근치성수술적림상자료。결과5례환자수술균획득성공，무1례중전개복，무위수술기사망，수술평균시간185min；술중평균출혈115 ml，절제림파결총수평균위30개。술후회복량호，무절구감염、문합구루등병발증。결론대우무원처전이적동시성쌍원발결직장암응용복강경여“람설”상결합실시쌍원발암근치성절제수술，안전、가행，가감경대환자적창상，병가이획득량호적치료효과。
Objective To evaluate the surgery skills and clinical effects of operation with the combination of laparoscopy and “Blue Dish”technology.Methods 5 patients with simultaneous double primary colorectal cancer were analyzed retrospectively in the GI Department of Tangshan People's Hospital from Sep.2009 to May.2014,operated with the combination of laparoscopic and “Blue Dish”technology.Results 5 cases were all successfully performed with no case of death,the average time of surgery was 185 minutes;the average vol-ume of blood loss was 115 ml,the average number of removal lymph nodes was 30.All the patients recovered well after operation without wound infection,anastomotic leakage,intestinal obstruction or other complications. Conclusions The operation of double primary colorectal cancer with the combination of laparoscopy and “Blue Dish”technology is safe and feasible;alleviating the wound reaction and obtaining a good therapeutic effect at the same time.