摘要
目的探讨3D腹腔镜下平行重叠吻合法加经自然腔道取标本(PCOA+NOSES)在左半结肠癌手术中的应用。方法采用回顾性横断面研究方法。收集2016年6月至2019年6月河南省人民医院胃肠外科收治的64例行3D完全腹腔镜下PCOA+NOSES治疗左半结肠癌患者的临床资料。结果64例左半结肠癌患者均行3D高清腹腔镜下左半结肠切除术,并接受PCOA+NOSES,平均手术时间为(146±53)min,PCOA时间为(30.3±2.5)min,术中出血量为(51±26)ml,术后排气时间为(2.1±1.3)d,术后进半流食时间为(4.1±1.4)d,术后下床活动时间为(1.3±0.6)d,术后住院时间为(5.4±1.4)d,术后清除淋巴结(22±9.5)枚,治疗费用为(4.1±1.2)万元。64例患者中发生术后并发症4例,其中肠梗阻1例,吻合口漏1例,腹腔积液伴感染1例,肺部感染1例,并发症发生率为6%。结论3D高清腹腔镜下PCOA+NOSES手术治疗左半结肠癌是一种安全、有效的手术方式。
Objective To evaluate the PCOA+NOSES with 3D laparoscopy in the left colon cancer radical resection.Methods In this study 64 patients underwent PCOA+NOSES with 3D laparoscopic radical operation of the left colon cancer in He′nan Provincial People′s Hospital from June 2016 to June 2019.Result The operation time was(146±53)min,time for anastomosis of PCOA was(30.3±2.5)min,intraoperative blood loss was(51±26)ml,the bowel function recovered in(2.1±1.3)d,the time to semi-liquid diet was(4.1±1.4)d,time to being up and about was(1.3±0.6)d,the mean postoperative hospital stay was(5.4±1.4)d,the number of lymph nodes dissection was(22±9.5),the inhospital cost was(4.1±1.2)ten thousand yuan.Complications developed in 4 patients(6%),one of intestinal obstruction,one of anastomotic leakage,one patient had ascites and infection,one suffred pulmonary infection.Conclusion The PCOA+NOSES with 3D laparoscope in the left colon cancer radical resection was safe and feasible.
作者
白军伟
张超
王志凯
张辉
谢毅
李俊蒙
张纯博
Bai Junwei;Zhang Chao;Wang Zhikai;Zhang Hui;Xie Yi;Li Junmeng;Zhang Chunbo(Department of Gastrointestinal Surgery,He′nan Provincial People′s Hospital(Zhengzhou University People′s Hospital,He′nan University People′s Hospital),Zhengzhou 450003,China)
出处
《中华普通外科杂志》
CSCD
北大核心
2020年第2期108-111,共4页
Chinese Journal of General Surgery
基金
河南省科技攻关项目(201702175)。
关键词
结肠肿瘤
吻合
外科
结肠切除术
腹腔镜
Colonic neoplasms
Anastomosis
surgical
Colectomy
Laparoscopy
