CAJ | 학술논문

单双极钩形钳与国产超能剪在腹腔镜下结直肠癌根治术中的应用效果
단쌍겁구형겸여국산초능전재복강경하결직장암근치술중적응용효과
Effect of Homopolar-dipolar Hooked Dissector and Domestic Bipolar Coagulation Scissors Applied to Laparoscopic Radical Resection for Sigmoid/Rectal Carcinoma

万方数据

广西医学廣西醫學 엄서의학
GUANGXI MEDICAL JOURNAL
2014年 12期 1715-1718 ,共4页

冯泽荣%雷鸣%何纯刚%梁萍%吴东波%邓洪强%刘杨桦%吴鸿根%刘超%潘云%林家威%王文美%陈荣

풍택영%뢰명%하순강%량평%오동파%산홍강%류양화%오홍근%류초%반운%림가위%왕문미%진영

乙状结肠癌%直肠癌%腹腔镜%单双极钩形钳%国产超能剪乙狀結腸癌%直腸癌%腹腔鏡%單雙極鉤形鉗%國產超能剪
을상결장암%직장암%복강경%단쌍겁구형겸%국산초능전
Sigmoid carcinoma%Rectal carcinoma%Laparoscope%Homopolar-dipolar hooked dissector%Domestic bipolar coagulation scissors

目的：比较单双极钩形钳与国产超能剪在完全腹腔镜下乙状结肠／直肠癌根治术中的临床应用效果。方法在完全腹腔镜下行乙状结肠癌／直肠癌根治术患者126例，其中采用单双极钩形钳进行手术者60例（钩形钳组），采用国产超能剪进行手术66例（超能剪组）。对比两组手术时间、术中出血、术后肛门排气时间及并发症情况。结果两组患者均顺利完成手术。超能剪组手术时间、术中出血量均明显少于钩形钳组（P＜0．05）；两组术后出血、吻合口漏、术后感染等并发症发生率及术后肛门排气时间比较，差异均无统计学意义（ P均＞0．05）。结论单双极钩形钳与国产超能剪应用于完全腹腔镜下乙状结肠／直肠癌根治术均顺利完成手术，达到治疗效果，但国产超能剪在功能上优于单双极钩形钳。
목적：비교단쌍겁구형겸여국산초능전재완전복강경하을상결장／직장암근치술중적림상응용효과。방법재완전복강경하행을상결장암／직장암근치술환자126례，기중채용단쌍겁구형겸진행수술자60례（구형겸조），채용국산초능전진행수술66례（초능전조）。대비량조수술시간、술중출혈、술후항문배기시간급병발증정황。결과량조환자균순리완성수술。초능전조수술시간、술중출혈량균명현소우구형겸조（P＜0．05）；량조술후출혈、문합구루、술후감염등병발증발생솔급술후항문배기시간비교，차이균무통계학의의（ P균＞0．05）。결론단쌍겁구형겸여국산초능전응용우완전복강경하을상결장／직장암근치술균순리완성수술，체도치료효과，단국산초능전재공능상우우단쌍겁구형겸。
Objective To explore the effects of homopolar-dipolar hooked dissector and domestic bipolar coagulation scissors applied to total laparoscopic radical resection for sigmoid/rectal carcinoma .Methods Of 126 patients underwent total laparoscopic radical resection for sigmoid/rectal carcinoma , 60 received surgery using subtotal homopolar-dipolar hooked dissector(hooked dissector group) and 66 received surgery using domestic bipolar coagulation scissors (coagulation scissors group ) .The operation duration , intraoperative blood loss , postoperative anal exhaust time and incidence of complications were compared between two groups .Results The patients in two groups underwent operations successfully . The operation duration,intraoperative blood loss in the coagulation scissors group were significantly less than those in the hooked dissector group(P<0.05).There was no significant difference in the incidence of complications(postoperative bleeding, anastomotic leakage and postoperative infection ) and postoperative anal exhaust time between two groups ( all P>0.05) . Conclusion Both homopolar-dipolar hooked dissector and domestic bipolar coagulation scissors applied to total laparoscopic radical resection for sigmoid/rectal carcinoma achieve the successful operation ,with satisfactory effects .Domestic bipolar coagulation scissors is superior to homopolar-dipolar hooked dissector regarding the function .