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手辅助与直接腹腔镜与开放直肠乙状结肠切除术治疗乙状结肠和直肠癌:100例患者的病例匹配研究

Hand-Assisted versus Straight-Laparoscopic versus Open Proctosigmoidectomy for Treatment of Sigmoid and Rectal Cancer: A Case-Matched Study of 100 Patients.

作者信息

Gezen Fazli C, Aytac Erman, Costedio Meagan M, Vogel Jon D, Gorgun Emre

机构信息

Research Fellow in the Digestive Disease Institute Department of Colorectal Surgery at the Cleveland Clinic in OH.

Clinical Research Fellow in the Digestive Disease Institute Department of Colorectal Surgery at the Cleveland Clinic in OH.

出版信息

Perm J. 2015 Spring;19(2):10-4. doi: 10.7812/TPP/14-102.

Abstract

To assess the efficacy of laparoscopic proctosigmoidectomy for cancer treatment, 25 patients who underwent hand-assisted laparoscopic resection during the study period (9/2006 - 7/2012) were matched to 25 straight-laparoscopic and 50 open-surgery cases. The patients who underwent hand-assisted resection had higher rates of preoperative cardiac disease and hypertension than did the straight-laparoscopy and open-surgery groups. Straight-laparoscopic surgery seems to provide faster convalescence compared with open surgery and hand-assisted laparoscopic surgery.

摘要

为评估腹腔镜直肠乙状结肠切除术治疗癌症的疗效,在研究期间(2006年9月至2012年7月)接受手辅助腹腔镜切除术的25例患者与25例直接腹腔镜手术患者及50例开放手术患者进行了匹配。接受手辅助切除术的患者术前患心脏病和高血压的比例高于直接腹腔镜手术组和开放手术组。与开放手术和手辅助腹腔镜手术相比,直接腹腔镜手术似乎能使患者康复得更快。

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