多原发性结直肠癌的单孔腹腔镜手术
Single incision laparoscopic surgery for multiple colorectal cancers.
作者信息
Ishiyama Yasuhiro, Hirano Yasumitsu, Hattori Masakazu, Douden Kenji, Hashizume Yasuo
机构信息
Department of Surgery, Fukui Prefectural Hospital, Fukui, Japan.
出版信息
Asian J Endosc Surg. 2016 Feb;9(1):21-3. doi: 10.1111/ases.12245. Epub 2015 Oct 21.
INTRODUCTION
The aim of this study was to evaluate short-term outcomes of single-incision surgery with two segmental colorectal resections and anastomoses for multiple synchronous colorectal cancers.
METHODS
Ten patients with multiple colorectal cancers underwent two synchronous segmental colorectal resections and anastomoses. The methodology of the procedures, operative results, and postoperative outcomes were evaluated.
RESULTS
The median operative time was 270 min (range, 146-427 min), and the median blood loss was 70 mL (range, 10-260 mL). No conversions to open surgery or intraoperative complications occurred. Four cases needed additional ports, and one case required a diverting stoma.
CONCLUSION
SILS with two segmental colorectal resections and anastomoses was safely performed in all cases without severe postoperative complications. This procedure seems to be a feasible option for resecting multiple synchronous colorectal cancers.
引言
本研究的目的是评估单切口手术行两段结直肠癌切除及吻合术治疗多发同时性结直肠癌的短期疗效。
方法
10例多发结直肠癌患者接受了同期两段结直肠癌切除及吻合术。对手术方法、手术结果及术后结局进行评估。
结果
中位手术时间为270分钟（范围146 - 427分钟），中位失血量为70毫升（范围10 - 260毫升）。无中转开腹手术或术中并发症发生。4例需要额外增加切口，1例需要行转流造口术。
结论
所有病例均安全实施了单切口两段结直肠癌切除及吻合术，无严重术后并发症。该手术似乎是切除多发同时性结直肠癌的一种可行选择。
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