摘要
目的探讨快速康复外科（FTS）理念联合腹腔镜技术治疗结直肠癌的有效性和安全性。方法回顾性分析该院2008年6月~2013年3月期间由同一手术组完成的结直肠癌手术病例：传统的开腹手术对照组（Ⅰ组,57例）,FTS理念开腹手术组（Ⅱ组,60例）,单纯腹腔镜手术组（Ⅲ组,63例）,FTS理念联合腹腔镜手术组（Ⅳ组,60例）。分析研究4组患者手术时间、手术切口长度、术中出血量、淋巴结清扫数目、肠道通气时间、术后住院天数和术后并发症等指标。结果Ⅳ组、Ⅲ组与Ⅰ组和Ⅱ组相比较手术时间明显延长,术中出血量明显减少,手术切口明显减小,各项差异均有显著性（P〈0.05）。Ⅳ组、Ⅱ组与Ⅰ、Ⅲ组比较术后肠功能恢复时间和住院时间都明显缩短,各项差异均有显著性（P〈0.05）。四组之间淋巴结清扫数目和术后并发症差异均无显著性（P〉0.05）。结论 FTS理念联合腹腔镜技术治疗结直肠癌,可以加快肠道功能的恢复、缩短住院时间;与FTS理念指导下的开腹手术相比,还具有出血少和切口小的优点,但手术时间略长,这并不增加术后并发症,且可达到同样的淋巴结清扫效果。
【Objective】To investigate the effectiveness,safety and advantage of fast track rehabilitation protocols in laparoscopic surgery for colorectal cancer.【Methods】Clinical data of colorectal cancer patients who underwent operation in our department from June 2004 to March 2013 were retrospectively analyzed.Among these patients,57 received traditional protocol and open surgery（group I）,60 received fast track protocols and open surgery（group II）,63 received traditional protocol and laparoscopic surgery（group III） and 60 were given fast track surgery and laparoscopic surgery（group IV）.【Results】In the group III and IV,intra-operative blood loss,the length of operative incision were decreased while the mean operation time was increased when compared with those in the groups I and II（P 0.05）.The index of postoperative bowel venting and hospital stay were decreased in the group IV and II as compared with group I and III（P 0.05）.There was no significant difference in the number of lymph nodes excised and postoperative complications among the four groups（P 0.05）.【Conclusion】Laparoscopic surgery with fast track rehabilitation in the treatment of colorectal cancer can shorten hospital stay and accelerate the recovery of bowel function.
出处
《中国内镜杂志》
CSCD
北大核心
2013年第8期797-800,共4页
China Journal of Endoscopy
基金
湖南省科技厅科研课题基金资助项目(No.2013SK3201)
关键词
快速康复外科
腹腔镜手术
结直肠癌
fast track surgery
laparoscopic surgery
colorectal cancer
