| 保留回盲部的完全腹腔镜右侧横结肠癌根治术的可行性及安全性分析 |
| |
| 引用本文： | 苏 昊,徐 正,罗 寿,包满都拉,梁建伟,裴 炜,关 旭,刘 正,姜 争,张明光,赵志勋,周海涛.保留回盲部的完全腹腔镜右侧横结肠癌根治术的可行性及安全性分析[J].现代肿瘤医学,2022,0(13):2385-2389. |
| |
| 作者姓名： | 苏 昊 徐 正 罗 寿 包满都拉 梁建伟 裴 炜 关 旭 刘 正 姜 争 张明光 赵志勋 周海涛 |
| |
| 作者单位： | 1.北京大学肿瘤医院暨北京市肿瘤防治研究所，恶性肿瘤发病机制及转化研究教育部重点实验室胃肠肿瘤中心，北京 100142;2.国家癌症中心/国家肿瘤临床医学研究中心/中国医学科学院北京协和医学院肿瘤医院结直肠外科;3.胰胃外科，北京 100021 |
| |
| 基金项目： | 国家卫生健康委医药卫生科技发展研究中心2021年微创手术临床应用规范研究课题(编号:WA2021RW13);北京大学肿瘤医院科学研究基金(编号:2022-9);中国医学科学院医学与健康科技创新工程(协同创新团队项目)(编号:2017-I2M-4-002) |
| |
| 摘 要： | 目的:探讨保留回盲部的完全腹腔镜右侧横结肠癌根治术的可行性、安全性及近期疗效。方法:回顾性分析中国医学科学院北京协和医学院肿瘤医院2018年01月至2020年12月行保留回盲部的完全腹腔镜右侧横结肠癌根治术患者27例的临床资料,统计并分析患者的临床病理特征、手术情况、术后恢复及围手术期并发症等资料。结果:27例患者均成功完成保留回盲部的完全腹腔镜右侧横结肠癌根治术,中位手术时间为120.0 min,中位术中出血量为20.0 mL。标本中位近端切缘长度为12.0 cm,中位远端切缘长度为11.0 cm,中位淋巴结检出数目为27.0枚。患者中位术后下地时间、进食时间、排气时间和住院时间分别为18.0 h、13.0 h、32.0 h和6.0 d,中位住院费用为71618.5元。随访过程中,仅1例患者术后出现切口感染,1例患者术后出现淋巴漏,保守治疗后均痊愈。患者术后1月、3月、6月及1年腹泻发生率分别为22.2%、7.4%、3.7%及3.7%。所有患者均未出现吻合口狭窄、吻合口漏、吻合口出血、肠梗阻等严重并发症。随访期间无患者出现肿瘤复发或者转移。结论:保留回盲部的完全腹腔镜右侧横结肠癌根治术切实可行,近期疗效较为满意,可能有助于降低结肠癌术后腹泻的发生率。
|
| 关 键 词： | 保留回盲部 完全腹腔镜 结肠癌 右半结肠切除 |
The feasibility and safety of complete laparoscopic right-transverse colon cancer radical resection with preservation of the ileocecal junction |
| |
| SU Hao,XU Zheng,LUO Shou,BAO Mandula,LIANG Jianwei,PEI Wei,GUAN Xu,LIU Zheng,JIANG Zheng,ZHANG Minggguang,ZHAO Zhixun,ZHOU.The feasibility and safety of complete laparoscopic right-transverse colon cancer radical resection with preservation of the ileocecal junction[J].Journal of Modern Oncology,2022,0(13):2385-2389. |
| |
| Authors: | SU Hao XU Zheng LUO Shou BAO Mandula LIANG Jianwei PEI Wei GUAN Xu LIU Zheng JIANG Zheng ZHANG Minggguang ZHAO Zhixun ZHOU |
| |
| Affiliation: | 1.Department of Gastrointestinal Surgery,Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing),Peking University Cancer Hospital & Institute,Beijing 100142,China;2.Department of Colorectal Surgery;3.Department of Pancreatic and Gastric Surgery,National Cancer Center,National Clinical Research Center for Cancer/Cancer Hospital,Chinese Academy of Medical Science and Peking Union Medical College,Beijing 100021,China. |
| |
| Abstract: | Objective:To explore the feasibility,safety and short-term efficacy of complete laparoscopic right-transverse colon cancer radical resection with preservation of the ileocecal junction.Methods:From January 2018 to December 2020,27 patients who underwent complete laparoscopic right-transverse colon cancer radical resection in Cancer Hospital,Chinese Academy of Medical Sciences and Peking Union Medical College were retrospectively enrolled in this study.Data regarding clinical characteristics,pathological characteristics,surgical outcomes,postoperative recovery and perioperative complications were collected and analyzed.Results:All 27 patients successfully performed complete laparoscopic right-transverse colon cancer radical resection with preservation of the ileocecal junction.The median operation time was 120.0 minutes and intraoperative blood loss was 20.0 mL.The median proximal and distal resection margin was 12.0 cm and 11.0 cm.The median number of lymph nodes detected was 27.0.The median time to ground activity,time to fluid diet intake,time to flatus,and length of hospital stay were 18.0 hours,13.0 hours,32.0 hours and 6.0 days,respectively.The median hospitalization cost was 71 618.5 yuan.During the follow-up period,only one patient suffered from incisional fat liquefaction after surgery and one patient suffered from lymphorrhea.Both of them were managed effectively by conservative treatment.The rate of postoperative diarrhea on the 1st,3rd,6th and 12th month were 22.2%,7.4%,3.7%and 3.7% respectively.No severe complications such as anastomotic stenosis,anastomotic leakage,anastomotic bleeding and bowel obstruction occurred in any patients.No tumor recurrence or metastasis were observed in any patient.Conclusion:This study indicates that complete laparoscopic right-transverse colon cancer radical resection with preservation of the ileocecal junction shows promise as a safe and feasible procedure with satisfactory short-term outcomes.It may be helpful to reduce the rate of postoperative diarrhea. |
| |
| Keywords: | ileocecal junction-preserved complete laparoscopy colon cancer right hemicolectomy |
| 本文献已被 维普 等数据库收录！ |
| 点击此处可从《现代肿瘤医学》浏览原始摘要信息 |
|
点击此处可从《现代肿瘤医学》下载全文 |
|
