Kondo Junya, Nishimura Taku, Nagashima Yukiko, Okada Toshimasa, Nakamura Mitsuo, Sakata Kouichiro
Dept. of Digestive Surgery, Japan Community Health care Organization, Shimonoseki Medical Center.
Gan To Kagaku Ryoho. 2014 Nov;41(12):1637-9.
Laparoscopic surgery for colorectal cancer has the advantage of being less invasive and delivering better cosmetic appearance. Although single-incision laparoscopic surgery produces excellent cosmetic results, it is considered very difficult to perform. We performed reduced port surgery (single-incision plus one or 2 ports) on 42 patients in our institute. The operation time, number of dissected lymph nodes, morbidity rates, and length of hospital stay after the operation were not inferior to those in conventional laparoscopic surgery. The estimated blood loss in reduced port surgery was less than in conventional laparoscopic surgery. In conclusion, the procedure of reduced port surgery should be further standardized to make it safer and more feasible, and to provide a favorable cosmetic result for selected patients.
腹腔镜结直肠癌手术具有侵入性较小和美容效果更佳的优势。尽管单孔腹腔镜手术能产生出色的美容效果,但被认为操作难度极大。我们在本机构对42例患者实施了减孔手术(单孔加一或两个辅助孔)。手术时间、清扫淋巴结数量、发病率以及术后住院时间均不逊色于传统腹腔镜手术。减孔手术的估计失血量少于传统腹腔镜手术。总之,应进一步规范减孔手术操作,使其更安全、更可行,并为选定患者提供良好的美容效果。