术前肠道支架减压联合腹腔镜一期手术治疗左半结直肠癌合并梗阻 21 例报告
Preoperative intestinal stent decompression with primary laparoscopic surgery to treat left-sided colorectal cancer with obstruction: a report of 21 cases.
机构信息
Department of Gastrointestinal Surgery, The First Affiliated Hospital of Zhejiang Chinese Medicine University, Hangzhou 310006, China;
出版信息
Cancer Biol Med. 2013 Jun;10(2):99-102. doi: 10.7497/j.issn.2095-3941.2013.02.006.
OBJECTIVE
This work aimed to study the safety and efficacy of preoperative intestinal stent decompression combined with laparoscopic surgery to treat left-sided colorectal cancer with obstruction (LCCO).
METHODS
Retrospective analysis was conducted on data obtained from 21 LCCO patients admitted to The First Affiliated Hospital of Zhejiang Chinese Medicine University during March 2008 and December 2011. To remove the intestinal obstruction, preoperative intestinal stent placement under colonoscopic guidance was performed. Approximately 7 to 10 days after the operation, laparoscopic radical surgery of colorectal cancer was conducted.
RESULTS
Among the 21 cases studied, laparoscopic surgery was successful in 20 patients. Emergent laparotomy was conducted in one patient because of tumor invasion in the ureter. The duration of the operation ranged from 180 to 320 min, and the average time was 220 min. The recovery time for bowel function ranged from 2 to 5 days with an average time of 3 days. Postoperative infection of the incision occurred in one case. No anastomotic leakage was observed in any of the cases.
CONCLUSION
Preoperative intestinal stent decompression, combined with primary stage laparoscopic surgery, is a safe and effective method for the treatment of LCCO.
目的
本研究旨在探讨术前肠道支架减压联合腹腔镜手术治疗左侧结直肠癌并梗阻（LCCO）的安全性和有效性。
方法
回顾性分析 2008 年 3 月至 2011 年 12 月期间浙江中医药大学第一附属医院收治的 21 例 LCCO 患者的临床资料。在结肠镜引导下进行术前肠道支架置入以解除肠梗阻。术后 7~10 d 行腹腔镜结直肠癌根治术。
结果
21 例患者中，20 例成功完成腹腔镜手术，1 例因输尿管受肿瘤侵犯而行急诊剖腹探查。手术时间为 180320 min，平均 220 min。术后肠道功能恢复时间为 25 d，平均 3 d。1 例患者发生切口感染，无吻合口漏发生。
结论
术前肠道支架减压联合一期腹腔镜手术治疗 LCCO 安全、有效。
Zotero 插件