Enomoto Toshiyuki, Saida Yoshihisa, Takabayashi Kazuhiro, Nagao Sayaka, Takeshita Emiko, Watanabe Ryohei, Takahashi Asako, Nakamura Yoichi, Asai Koji, Watanebe Manabu, Nagao Jiro, Kusachi Shinya
Department of Surgery, Toho University Ohashi Medical Center, 2-17-6 Ohashi Meguro-ku, Tokyo, Japan.
Surg Today. 2016 Dec;46(12):1383-1386. doi: 10.1007/s00595-016-1331-7. Epub 2016 Mar 26.
To compare the outcomes of laparoscopic surgery vs. open surgery after insertion of a colonic stent for obstructive colorectal cancer.
Between April 2005 and August 2013, 58 patients underwent surgery after the insertion of a colonic stent for obstructive colorectal cancer. We analyzed the outcomes of the patients who underwent laparoscopic surgery vs. those who underwent open surgery.
We compared blood loss, operative time, hospital stay, and complications in 26 patients who underwent laparoscopic surgery and 32 patients who underwent open surgery. Blood loss was significantly less in the laparoscopic surgery group, but operative time was significantly shorter in the open surgery group. The length of hospital stay was shorter in the laparoscopic surgery group than in the open surgery group, but the difference was not significant. There was no significant difference in postoperative surgical complications between the groups.
The patients who underwent laparoscopic resection had less blood loss, although no significant difference was found in postoperative morbidity or mortality. Thus, laparoscopic resection after stent insertion is a feasible and safe option for patients with obstructive colorectal cancer.
比较结肠支架置入术后，腹腔镜手术与开放手术治疗梗阻性结直肠癌的效果。
2005年4月至2013年8月期间，58例梗阻性结直肠癌患者在置入结肠支架后接受了手术。我们分析了接受腹腔镜手术的患者与接受开放手术的患者的治疗效果。
我们比较了26例接受腹腔镜手术的患者和32例接受开放手术的患者的失血量、手术时间、住院时间及并发症情况。腹腔镜手术组的失血量明显较少，但开放手术组的手术时间明显较短。腹腔镜手术组的住院时间比开放手术组短，但差异不显著。两组术后手术并发症无显著差异。
接受腹腔镜切除术的患者失血量较少，尽管术后发病率或死亡率无显著差异。因此，对于梗阻性结直肠癌患者，支架置入后行腹腔镜切除术是一种可行且安全的选择。
