左半结肠癌腹腔镜和开腹根治术临床对照研究

目的评价腹腔镜辅助下左半结肠癌根治术与同期开腹手术在短期疗效方面的差异。 方法回顾性分析江苏省人民医院结直肠外科2013年1月至2014年12月实施的72例左半结肠癌根治术的临床资料，其中腹腔镜组（Laparoscopic, LAP）38例，开腹组（open suryery, OS）34例，对两组患者术中、术后结果进行比较。 结果两组手术时间差异无统计学意义（P>0.05）；腹腔镜组术中平均出血量（88.16±65.18）ml明显少于开腹组（132.35±82.46）ml（P<0.05）；腹腔镜组淋巴结清扫数量（16.16±2.14）枚，较开腹组多（14.50±2.43）枚（P<0.01）；与开腹组相比较，腹腔镜组病例术后进食时间、下床时间和平均住院天数均明显缩短（P<0.05）。两组术后并发症差异无统计学意义（P>0.05）。 结论腹腔镜辅助下左半结肠切除术技术上安全可行，与传统开腹手术相比具有出血少、术后恢复快、住院时间短等优点。

Comparison study of laparoscopic vs open left hemicolectomy for descending colon cancer

ObjectiveTo evaluate short-time outcomes of laparoscopic (LAP) surgery vs open surgery (OS) for descending colon cancer. MethodsClinical data of 72 patients who received LAP or OS left hemicolectomy in our hospital from January 2013 to December 2014 were collected and analyzed. These patients were divided into LAP group (n=38) and OS group (n=34). The operation time, intraoperative blood loss and short-time outcomes were compared between two groups. ResultsThere was no significant difference in operation time and complication rate between two groups. The intraoperative blood loss was significantly less in the LAP group than in the OS group (88.16±65.18 ml vs 132.35±82.46 ml, P<0.05). The mean postoperative exsufflation time and hospital stay time were shorter in the LAP group than in the OS group (P<0.05). ConclusionsLAP for descending colon cancer is a technically safe and feasible procedure. Compared to OS, LAP has advantages including less intraoperative blood loss, faster recovery and shorter hospital stay.