摘要
目的:探讨外科医师如何尽快掌握腹腔镜结直肠癌根治术。方法:回顾分析2006年5月至2009年6月我院为40例患者行腹腔镜结直肠手术的临床资料,按手术先后次序分为4组,每组10例,以每10例手术患者为一手术学习曲线阶段,比较各阶段的手术时间,术中出血量,术中、术后并发症发生率,中转开腹率,术后住院时间,分析不同阶段的手术效果。结果:4组患者在年龄、性别、手术方式等方面无明显差别。手术时间A组(300±20.4)min,1例中转开腹,B组(180±11.5)min,C组(180±21.2)min,D组(130±18.1)min(P<0.001)。术中出血由(100±13.5)ml降至(50±11.5)ml(P<0.05),术后住院天数由18.4d降至14.3d(P<0.05)。4组均无术中、术后并发症发生。结论:行腹腔镜结直肠癌手术约30例后即可达到较熟练程度。
Objective：To investigate how surgeon can quickly learn laparoscopic radical operation for colorectal caneer. Methods ： Date of 40 cases of taparoseopie colorectal caneer surgery from May 2006 to Jun. 2009 was reviewed. The patients were divided into four groups （ 10 cases in each group） by operative sequence. The operating time, bleeding volume, the incidence of intraoperative and postoperative compllcations,the rate of conversion to open operation,length of postoperative hospital stay of 4 phases of ]earning curve were compared. The operative effects in different phases were analyzed. Results：There was no significant difference among the patients in the four different phases with respect to age, sex,operation pattern. The operating time of group A was （300 ± 20.4）min,of group B was （ 180 ± 11.5 ） min, group C was （ 180 ± 21.2 ） min, group D was （ 130 ± 18.1 ） min （ P 〈 0.001 ）. There was one case converted to open surgery in group A. The bleeding volume deereased from （ 100 ± 13.5 ） ml to （ 50 ± 11.5 ） ml （ P 〈 0.05 ）. The hospital stay decreased from 18.4d to 14.3d （P 〈0.05）. There was no complication in each group. Conclusions： From the learning era＇re of laparoseopic colorectal surgery,surgeon can learn operative skill aider performing 30 cases.
出处
《腹腔镜外科杂志》
2009年第10期736-738,共3页
Journal of Laparoscopic Surgery
