Stitz RW, Lumley JW
Department of Surgery, Royal Brisbane Hospital, Herston, Brisbane, Australia
Semin Laparosc Surg. 1995 Dec;2(4):235-241. doi: 10.1053/SLAS00200235.
Laparoscopic colectomy for both benign and malignant conditions has been performed in many institutions worldwide. Because of its recent inception, there has been little data available about follow-up in cancer patients. This prospective study assesses the operating statistics, postoperative complications, and long-term outcomes for 128 patients with colorectal cancer who were treated selectively with laparoscopic surgery. Median operating times for right hemicolectomy, anterior resection, and abdominoperineal resection were 3 hours, 3.3 hours, 3.5 hours, respectively. For right hemicolectomy and anterior resection patients, the median postoperative stay was 6 days. This stay was 9 days for abdominoperineal patients. Open conversion occurred in 9 patients (7%). 30 patients suffered from some postoperative morbidity (23%). Of 102 potentially curative procedures, there have been 9 recurrences (8,8%) to date. Fifteen patients have died. There is a low incidence of intestinal ileus (3%) and wound infection (1.8%).
全球许多机构都开展了针对良性和恶性疾病的腹腔镜结肠切除术。由于该手术开展时间较短，关于癌症患者随访的数据较少。这项前瞻性研究评估了128例接受选择性腹腔镜手术治疗的结直肠癌患者的手术统计数据、术后并发症和长期预后。右半结肠切除术、前切除术和腹会阴联合切除术的中位手术时间分别为3小时、3.3小时和3.5小时。对于接受右半结肠切除术和前切除术的患者，术后中位住院时间为6天。腹会阴联合切除术患者的住院时间为9天。9例患者（7%）中转开腹。30例患者出现了一些术后并发症（23%）。在102例可能治愈的手术中，迄今为止有9例复发（8.8%）。15例患者死亡。肠梗阻（3%）和伤口感染（1.8%）的发生率较低。
