【摘要】 目的报告探讨手辅助腹腔镜技术(HALS)在左半结肠癌根治术中的临床体会,探讨其微创性和安全性。方法采用回顾性研究,收集自2013年1月至2018年12月在广州市红十字医院胃肠外科接受左半结肠癌根治术患者的临床资料,根据手术方式的不同分为HALS组(81例)及传统腹腔镜(LAC)组(93例),记录、分析和比较两组的一般临床参数资料、手术相关资料、术后功能恢复的数据。结果 HALS组和LAC组患者的年龄、性别、体质指数(BMI)、腹部手术史,合并症、肿瘤术前分期等临床参数资料的差异无统计学意义(P均大于0.05)。HALS组与LAC组在手术出血量、清扫淋巴结数、手术切口总长度、手术副损伤、术后并发症、非计划二次手术方面的差异均无统计学意义(P均大于0.05)。但HALS组的手术时间较LAC组略短,且中转开腹病例数少于LAC组,但差异无统计学意义(P>0.05)。结论从短期的临床效果来看,使用HALS术式的左半结肠癌根治术同LAC有相似的安全性和微创效果,但本组病例中,HALS组的中转手术例数少于LAC。更多还原

【Abstract】 Objective To introduce the experience,investigate the feasibility,minimally invasive and safety of hand-assisted laparoscopy in radical resection of left colon cancer. Methods This is a retrospective study which collected the clinical data from January 2013 to December 2018 in Guangzhou Red Cross Hospital. And the patients with left half colon cancer were included in the study. According to the operation method,patients were divided into HALS group(81 cases)and LAC group(93 cases).Surgery-associated parameters were recorded,analyzed,as well as compared between two groups.Results Age,gender,body mass index(BMI),history of abdominal surgery,complications,preoperative stage of tumor and other clinical parameters between the HALS group and the LAC group showed no statistically significant differences(P>0.05). HALS group had shorter operative time and lower conversion to laparotomy than LAC group(P<0.05). Blood loss,lymph node dissection,length of the incision,collateral injury,postoperative complications,unplanned secondary surgery and postoperative length of hospital stay were not statistically significant(P>0.05). Conclusion In the present study,HALS technology and LAC have similar effects in safety and postoperative recovery,while HALS showed less conversion to laparotomy in a limited cases.更多还原