腹腔镜右半结肠癌根治术中的体外吻合与体内吻合比较。
Extracorporeal versus intracorporeal anastomosis in laparoscopic right hemicolectomy for cancer.
机构信息
Department of Morphology, Experimental Medicine and Surgery, Section of Chirurgia 1, Sant'Anna Hospital, University of Ferrara, Ferrara, Italy.
Research Innovation Quality and Accreditation Unit, S. Anna University Hospital of Ferrara, Ferrara, Italy.
出版信息
Minim Invasive Ther Allied Technol. 2022 Jan;31(1):112-118. doi: 10.1080/13645706.2020.1757464. Epub 2020 May 12.
INTRODUCTION
This study aimed at assessing the long-term oncological outcomes of intracorporeal ileocolic anastomosis (ICA) for laparoscopic right hemicolectomy for colon cancer compared with extracorporeal anastomosis (ECA).
MATERIAL AND METHODS
We performed a retrospective analysis of 149 consecutive patients who underwent laparoscopic right hemicolectomy for colon cancer between January 2006 and December 2012.
RESULTS
Eighty and 69 patients underwent intracorporeal and ECA, respectively. The two groups were demographically comparable. ICA exhibited a significantly shorter operative time ( < .0001), while local relapse and length of hospital stay did not significantly differ among the groups ( = .724 and .310, respectively). There was no significant difference in median number of retrieved lymph node. The overall survival and the disease-free survival at five years did not significantly differ among the groups.
CONCLUSIONS
Intracorporeal ICA can reduce operative time and is associated with similar postoperative and long-term oncological outcomes compared to the ECA technique.
简介
本研究旨在评估腹腔镜右半结肠切除术（结肠癌）中，与体外吻合术（ECA）相比，腔内回肠结肠吻合术（ICA）的长期肿瘤学结果。
材料和方法
我们对 2006 年 1 月至 2012 年 12 月期间连续 149 例接受腹腔镜右半结肠切除术的结肠癌患者进行了回顾性分析。
结果
80 例和 69 例患者分别接受了腔内和 ECA 吻合术，两组在人口统计学方面具有可比性。ICA 组的手术时间明显更短（<0.0001），而局部复发和住院时间在两组之间没有显著差异（=0.724 和=0.310）。两组取出的淋巴结中位数无显著差异。两组的总生存率和 5 年无病生存率无显著差异。
结论
与 ECA 技术相比，腔内 ICA 可缩短手术时间，且术后和长期肿瘤学结果相似。
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