Ozawa Heita, Nakamura Takatoshi, Ikeda Atsushi, Naito Masanori, Sato Takeo, Onozato Wataru, Ogura Naoto, Watanabe Masahiko
Department of Surgery, Tochigi Cancer Center, Tochigi, Japan.
Surg Laparosc Endosc Percutan Tech. 2012 Apr;22(2):118-21. doi: 10.1097/SLE.0b013e3182447a88.
The aim of this study was to evaluate the benefit of straight laparoscopic restorative proctocolectomy (sLRP) with ileal pouch anal anastomosis for ulcerative colitis (UC).
Twenty patients underwent sLRP or open restorative proctocolectomy. The 2 groups were retrospectively well matched with respect to sex, body mass index, and American Society of Anesthesiologists' score.
The median operative time was longer in the sLRP group (P=0.0003). The median operative blood loss was significantly less in the sLRP group (P=0.0054). The median analgesic drug usage during the first 7 days after surgery was lower in the sLRP group (P=0.038). There were no differences in morbidity rates and long-term functional outcome measures between the groups.
An sLRP for UC has the advantage over an open restorative proctocolectomy of better short-term outcomes, and both groups have similar long-term outcomes. This procedure is acceptable for minimally invasive surgery in patients with UC.
本研究旨在评估直式腹腔镜全直肠系膜切除术（sLRP）联合回肠储袋肛管吻合术治疗溃疡性结肠炎（UC）的益处。
20例患者接受了sLRP或开放式全直肠系膜切除术。两组在性别、体重指数和美国麻醉医师协会评分方面进行了回顾性匹配。
sLRP组的中位手术时间更长（P=0.0003）。sLRP组的中位术中失血量显著更少（P=0.0054）。sLRP组术后前7天的中位镇痛药使用量更低（P=0.038）。两组之间的发病率和长期功能结局指标没有差异。
UC的sLRP比开放式全直肠系膜切除术具有更好的短期结局优势，且两组的长期结局相似。该手术对于UC患者的微创手术是可接受的。
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