Wei Hongbo, Master Jiafeng Fang, Chen Tufeng, Zheng Zongheng, Wei Bo, Huang Yong, Huang Jianglong, Master Haozhong Xu
Department of Gastrointestinal Surgery, The Third Affiliated Hospital of Sun Yat-sen University, Tianhe Road 600, Guangzhou 510275, China.
Department of Gastrointestinal Surgery, The Third Affiliated Hospital of Sun Yatsen University, Guangzhou, Guangdong Province, China.
JSLS. 2014 Apr-Jun;18(2):323-32. doi: 10.4293/108680813X13753907291350.
Laparoscopy-assisted surgery for either rectal or gastric cancer has been increasingly performed. However, simultaneous laparoscopy-assisted resection for synchronous rectal and gastric cancer is rarely reported in the literature. In our study, 3 cases of patients who received simultaneous laparoscopy-assisted resection for synchronous rectal and gastric cancer were recorded. The results showed that all 3 patients recovered well, with only 253 minutes of mean operation time, 57 mL of intraoperative blood loss, 5 cm of assisted operation incision, 4 days to resume oral intake, 12 days' postoperative hospital stay, and no complication or mortality. No recurrence or metastasis was found within the follow-up period of 22 months. When performed by surgeons with plentiful experience in laparoscopic technology, simultaneous laparoscopy-assisted resection for synchronous rectal and gastric cancer is safe and feasible, with the benefits of minimal trauma, fast recovery, and better cosmetic results, compared with open surgery.
腹腔镜辅助下的直肠癌或胃癌手术已越来越多地开展。然而,同步性结直肠癌和胃癌的腹腔镜辅助同期切除术在文献中鲜有报道。在我们的研究中,记录了3例接受同步性结直肠癌和胃癌腹腔镜辅助同期切除术的患者。结果显示,所有3例患者恢复良好,平均手术时间仅253分钟,术中失血57毫升,辅助手术切口5厘米,4天恢复经口进食,术后住院12天,无并发症或死亡。在22个月的随访期内未发现复发或转移。与开放手术相比,由具备丰富腹腔镜技术经验的外科医生进行同步性结直肠癌和胃癌的腹腔镜辅助同期切除术是安全可行的,具有创伤小、恢复快和美容效果好的优点。