Ojima Toshiyasu, Nakamori Mikihito, Nakamura Masaki, Katsuda Masahiro, Iida Takeshi, Hayata Keiji, Takifuji Katsunari, Hotta Tsukasa, Yokoyama Shozo, Matsuda Kenji, Iwahashi Makoto, Yamaue Hiroki
Second Department of Surgery, School of Medicine, Wakayama Medical University, Wakayama, Japan.
Surg Laparosc Endosc Percutan Tech. 2015 Feb;25(1):43-46. doi: 10.1097/SLE.0b013e3182a2f0f5.
The aim of this study was to examine the feasibility of performing combined laparoscopic resection in patients with synchronous gastric and colorectal cancer.
Thirty-six consecutive patients with synchronous gastric and colorectal cancer who underwent simultaneous combined resection were enrolled in this retrospective study.
Six patients underwent laparoscopic combined resection (lap group), whereas the other 30 patients underwent conventional open combined surgery (open group). Although the operative time was longer in the lap group than in the open group, there were no differences in the amount of intraoperative bleeding. Although there were no differences in the rates of postoperative complications between the 2 groups, the postoperative hospital stay was significantly shorter in the lap group. During a mean follow-up of 35 months, all 6 patients who underwent laparoscopic combined resection survived without any signs of recurrence.
Simultaneous laparoscopic resection is a feasible procedure in patients with synchronous gastric and colorectal cancer.
本研究旨在探讨同步性胃癌和结直肠癌患者行腹腔镜联合切除术的可行性。
本回顾性研究纳入了36例连续接受同步联合切除术的同步性胃癌和结直肠癌患者。
6例患者接受了腹腔镜联合切除术（腹腔镜组），而其他30例患者接受了传统开放联合手术（开放组）。虽然腹腔镜组的手术时间比开放组长，但术中出血量无差异。虽然两组术后并发症发生率无差异，但腹腔镜组的术后住院时间明显缩短。在平均35个月的随访期间，所有6例行腹腔镜联合切除术的患者均存活，无任何复发迹象。
同步性胃癌和结直肠癌患者行腹腔镜同期切除术是一种可行的手术方式。
