腹腔镜结肠癌切除术。

Laparoscopic colectomy for colonic carcinoma.

机构信息

Surgical Department, European Medical Center, Macedonias 2 Str, 55535 Pilea, Thessaloniki, Greece.

出版信息

Tech Coloproctol. 2011 Oct;15 Suppl 1:S29-31. doi: 10.1007/s10151-011-0748-7.

DOI:10.1007/s10151-011-0748-7

PMID:21887562

Abstract

AIM

The aim of this study is to present our experience with the laparoscopic treatment approach for colonic carcinoma.

PATIENTS AND METHODS

Between 2005 and 2010, laparoscopic colectomy was performed in 13 patients; 9 patients underwent laparoscopic right hemicolectomy, 3 sigmoidectomy and 1 patient underwent laparoscopic caecectomy.

RESULTS

With regards to the right hemicolectomies, the average operative time was 168 min and the average hospital stay 5.3 days. In patients who underwent laparoscopic sigmoidectomy, the average operative time was 176 min, while the average hospital stay was 10.2 days. Finally, the laparoscopic caecectomy was performed in 85 min. There was one conversion (7.7%) to an open procedure, as well as one case (7.7%) of anastomotic leakage, which was treated with re-laparotomy and a Hartmann's procedure. Up to today, all patients remain healthy with no signs of tumor recurrence.

CONCLUSION

Laparoscopic colectomy for cancer, in the hands of an experienced laparoscopic surgeon, is a safe and efficient procedure.

摘要

目的

本研究旨在介绍我们在腹腔镜治疗结肠癌方面的经验。

患者与方法

2005 年至 2010 年间，我们对 13 例患者施行腹腔镜结肠切除术；其中 9 例行腹腔镜右半结肠切除术，3 例行腹腔镜乙状结肠切除术，1 例行腹腔镜盲肠切除术。

结果

右半结肠切除术的平均手术时间为 168 分钟，平均住院时间为 5.3 天。行腹腔镜乙状结肠切除术的患者，平均手术时间为 176 分钟，平均住院时间为 10.2 天。最后，腹腔镜盲肠切除术用时 85 分钟。有 1 例（7.7%）中转开腹，1 例（7.7%）发生吻合口漏，行再次剖腹手术和 Hartmann 手术治疗。截至目前，所有患者均健康，无肿瘤复发迹象。