经脐单孔+1孔与传统腹腔镜结直肠癌根治术的安全性及 可行性对比研究

目的 比较经脐单孔+1孔腹腔镜与传统腹腔镜结直肠癌根治术的安全性及可行性。方法 收集42例 结直肠癌患者的临床资料，并根据术式不同将患者分为研究组及对照组各 21 例，分别采用经脐单孔+1 孔腹腔镜 根治术和传统腹腔镜根治术。比较2组患者的手术时间、术中出血量、术后住院时间、术后排气时间、淋巴结清扫 数目以及术后相关并发症等情况。结果 研究组患者术后住院时间明显短于对照组（P＜0.05）；2 组患者手术时 间、术中出血量、术后排气时间及淋巴结清扫数目差异无统计学意义（P＞0.05）；2组患者术后均无吻合口瘘，对照组 出现肠梗阻、吻合口出血各1例，切口感染2例，研究组出现吻合口出血及切口感染各1例，2组并发症发生率差异无 统计学意义（P＞0.05）。结论 经脐单孔+1 孔腹腔镜结直肠癌根治术安全可行，在术后恢复方面优于传统腔镜 手术。

A clinical comparative study on the safety and feasibility of transumbilical single-port+1-port laparoscopy and traditional laparoscopic radical resection of colorectal cancer

Objective To compare the safety and feasibility of transumbilical single-hole+1-hole laparoscopy and traditional laparoscopic radical resection of colorectal cancer. Methods Data of 42 patients with colorectal cancer admitted to our hospital from October 2018 to May 2021 were collected. Patients were divided into the study group and the control group according to different surgical methods, and 21 patients in each group. The two groups were treated with umbilical single-hole+ 1-hole laparoscopic radical mastectomy and traditional laparoscopic radical mastectomy. Data of operation time, intraoperative blood loss, postoperative exhaust time, postoperative hospital stay, number of lymph node dissection and postoperative complications were compared between the two groups. Results The postoperative hospitalization time was significantly shorter in the study group than that of the control group (P＜0.05). There were no significant differences in the operative time, intraoperative blood loss, postoperative exhaust time and number of lymph node dissection between the two groups (P＞ 0.05). There was no anastomotic fistula in the two groups after operation. There were one case of intestinal obstruction, one case of anastomotic bleeding and two cases of incision infection in the control group, and one case of anastomotic bleeding and one case of incision infection in the research group. There were no significant differences in the complications between the two groups (P＞0.05). Conclusion Transumbilical single-hole+1-hole laparoscopic radical resection of colorectal cancer is safe and feasible, and which is superior to traditional endoscopic surgery in postoperative recovery.