腹腔镜与开腹次全结肠切除术治疗慢传输型便秘的临床对比

目的 评价腹腔镜下次全结肠切除术的安全性、有效性与可行性.方法 回顾性分析武汉市协和医院2002~2007年接受次全结肠切除术的48例慢传输型便秘患者,分为开腹组(21例)和腹腔镜组(27例),比较两组患者的一般情况、手术情况、术后情况以及疗效评价.结果 48例均行次全结肠切除术,两组患者一般情况、手术时间、术后肠道功能恢复时间以及便秘症状改善率等差异均无统计学意义,但腹腔镜组在术中出血量、术后止痛剂使用次数、引流管引流量、伤口并发症及术后住院时间等方面均优于开腹组.结论 腹腔镜行次全结肠切除术治疗慢传输型便秘安全、有效、可行.

Comparison of the Outcomes between Laparoscopic vs Open Subtotal Colectomy for Slow Transit Costipation

Objective To evaluate the safety,efficacy and feasibility of laparoscopic subtotal colectomy.Methods Fortyeight patients with slow transit constipation receiving subtotal colectomy from 2002 to 2007 in our hospital were retrospectively analyzed,and divided into open group (21 cases) and laparoscopic group(27 cases).General conditions,surgery conditions,postoperative conditions,as well as curative effectiveness were compared between the two groups.Results All the 48 cases received subtotal colectomy.There was no significanct difference in general conditions,operative time.postoperative recovery of bowel function and the improvement rate of the symptoms between the two groups.But there was significant difference in the volume of blood loss,uses of analgesics,drainage,incidence of wound complications and postoperative hospital stay between the two groups.Conclusion Laparoscopic subtotal colectomy for slow transit constipation is safe,effective and feasible.