Department of Surgery, Medical Centre Leeuwarden and the Leeuwarden Institute of Minimally Invasive Surgery Leeuwarden, Groningen, The Netherlands.
Dig Surg. 2013;30(4-6):265-9. doi: 10.1159/000353132. Epub 2013 Aug 20.
Laparoscopic subtotal colectomy (STC) is a complex procedure. It is possible that short-term benefits for segmental resections cannot be attributed to this complex procedure. This study aims to assess differences in short-term results for laparoscopic versus open STC during a 15-year single-institute experience.
We reviewed consecutive patients undergoing laparoscopic or open elective or subacute STC from January 1997 to December 2012.
Fifty-six laparoscopic and 50 open STCs were performed. The operation time was significantly longer in the laparoscopic group, median 266 min (range 121-420 min), compared to 153 min (range 90-408 min) in the open group (p < 0.001). Median hospital stay showed no statistical difference, 14 days (range 1-129 days) in the laparoscopic and 13 days (range 1-85 days) in the open group. Between-group postoperative complications were not statistically different.
Laparoscopic STC has short-term results similar to the open procedure, except for a longer operation time. The laparoscopic approach for STC is therefore only advisable in selected patients combined with extensive preoperative counseling.
腹腔镜结肠次全切除术（STC）是一种复杂的手术。对于节段性切除术，其短期获益可能无法归因于这种复杂的手术。本研究旨在评估在 15 年单中心经验中，腹腔镜与开腹 STC 的短期结果差异。
我们回顾了 1997 年 1 月至 2012 年 12 月期间接受腹腔镜或开腹择期或亚急性 STC 的连续患者。
56 例腹腔镜和 50 例开腹 STC 手术。腹腔镜组的手术时间明显更长，中位数为 266 分钟（范围 121-420 分钟），而开腹组为 153 分钟（范围 90-408 分钟）（p<0.001）。中位住院时间无统计学差异，腹腔镜组为 14 天（范围 1-129 天），开腹组为 13 天（范围 1-85 天）。两组术后并发症无统计学差异。
腹腔镜 STC 的短期结果与开腹手术相似，除了手术时间较长。因此，腹腔镜 STC 仅适用于结合广泛术前咨询的选择患者。
