期刊文献+

腹腔镜中晚期结肠癌根治术的技术特点及短期疗效分析 被引量:25

暂未订购
导出
摘要 目的:分析应用腹腔镜下结肠癌根治术的技术特点,比较分析其可行性、近期临床疗效及。方法:回顾性分析我院2006年6月至2007年12月同期收治的中晚期结肠癌患者腹腔镜手术组(47例)和传统开腹手术组(49例),对其临床资料进行回顾性分析,并总结该腹腔镜手术的技术特点。结果:腹腔镜组3例中转开腹手术,中转率为6.4%。腹腔镜组的手术时间较开腹组稍长[(195.2±57.2)min vs (165.3±56.1)min,P<0.05];腹腔镜组的手术失血量明显较开腹组少[(61.2±26.3)mL vs (281.3±187.4)mL,P<0.001];腹腔镜组的手术时间较开腹组稍长[(195.2±57.2)min vs (165.3±56.1)min,P<0.05];腹腔镜组的肠道功能恢复时间较开腹组短[(2.3±0.7)d vs (4.0±0.8)d,P<0.05]。手术后并发症且平均收获的淋巴结数两组无统计学差别。结论:腹腔镜手术治疗中晚期结直肠癌具有专有的技术特点,安全可行,具有出血少等优点。
出处 《实用医学杂志》 CAS 北大核心 2009年第13期2108-2109,共2页 The Journal of Practical Medicine
  • 相关文献

参考文献10

  • 1Park K J,Choi H J,Roh M S,et al.Intensity of tumor budding and its prognostic implications in invasive colon carcinoma[J].Dis Colon Rectum,2005,48(8):1597-1602.
  • 2Azekura K,Ueno M,Ohya M,et al.Current status of sentinel node navigation surgery in colon cancer[J].Nippon Geka Gakkai Zasshi,2003,104(11):789-792.
  • 3Tong D K,Law W L.Laparoscopic versus open right hemicolectomy for carcinoma of the colon[J].JSLS,2007,11 (1):76-80.
  • 4Finlayson E,Nelson H.Laparoscopic celectomy for cancer[J].Am J Clin Oncol,2005,28 (5):521-525.
  • 5Veldkamp R,Kuhry E,Hop W C,et al.Laparoscopic surgery versus open surgery for colon cancer:short-term outcomes of a randomised trial[J].Lancet Oncol,2005,6 (7):477-484.
  • 6江志伟,黎介寿.结直肠癌手术腹腔镜或开腹术式选择的争论[J].中国实用外科杂志,2008,28(6):453-455. 被引量:35
  • 7Fleshman J,Sargent D J,Green E,et al.Laparoscopic colectomy for cancer is not inferior to open surgery based on 5-year data from the COST Study Group trial[J].Ann Surg,2007,246 (4):655-662.
  • 8Jayne D G,Guillou P J,Thorpe H,et al.Randomized trial of laparoscopic-assisted resection of colorectal carcinoma:3-year results of the UK MRC CLASICC Trial Group[J].J Clin Oncol.2007,25(21):3061-3068.
  • 9Liang J T,Huang K C,Lai H S,et al.Oncologic results of laparoseopie versus conventional open surgery for stage Ⅱ or Ⅲ leftsided colon cancers:a randomized controlled trial[J].Ann Surg Oncol,2007,14(1):109-117.
  • 10Janson M,Biorholt I,Carlsson P,et al.Randomized clinical trial of the COSTS of open and laparoscopic surgery for colonic cancer[J].Br J Surg,2004,91 (4):409-417.

二级参考文献14

  • 1江志伟,李宁,黎介寿.快速康复外科的概念及临床意义[J].中国实用外科杂志,2007,27(2):131-133. 被引量:1384
  • 2Basse L, Hjort JD, Billesbolle P, et al. A clinical pathway to accelerate recovery after colonic resection[ J]. Ann Surg,2000,232 (1) :51 -57.
  • 3Fearon KC,Ljungqvist O,Von Meyenfeldt M,et al. Enhanced recovery after surgery: a consensus review of clinical care for patients undergoing colonic resection [ J ]. Clin Nutr,2005,24 ( 3 ) : 466 - 477.
  • 4Kehlet H, Wilmore DW. Multimodal strategies to improve surgical outcome[J]. Am J Surg,2002,183(6) :630.
  • 5Delaney CP, Zutshi M, Senagor A J, et al. Prospective, randomised, controlled trial between a pathway of controlled rehabilitation with early ambulation and diet and traditional postoperative care. after laparotomy and intestinal resection [ J ]. Dis Colon Rectum,2003,46 ( 7 ) :851 - 859.
  • 6Anderson ADG,McNaught CE,McFie J, et al. Randomised clinical trial of muhimodal optimisation and standard preoperative surgical care[J].Br J Surg,2003.90(12) :1497 -1504.
  • 7Basse L,Thorbol JE, Lossb K,et al. Convalesenee after fast-track versus conventional care of colonic surgery [ J ]. Dis Colon Rectum, 204,47 ( 3 ) :275 - 278.
  • 8Veldkamp R, Gholghesaei M, Bonjer HJ et al. Laparoscopic resection of colon cancer[J]. Surg Endosc, 2004, 18 (8) : 1163 - 1185.
  • 9The Clinical Outcomes of Surgical Therapy Study Group. A comparison of laparoscopically assisted and open colectomy for colon cancer[J]. N Engl J Med,2004,350(20) :2050 -2059.
  • 10Leung KL, Kwok SP, Lam SC, et al. Laparoscopic resection of rectosigmoid carcinoma : prospective randomised trial [ J ]. Lancet,2004,363(9416) :1187 -1197.

共引文献34

同被引文献189

引证文献25

二级引证文献206

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部