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目的:探索经脐单孔腹腔镜在乙状结肠癌根治术中的可行性、安全性及临床疗效。方法:回顾性分析2013年9月至2015年12月间,在我院外科接受单孔腹腔镜乙状结肠癌根治术23例病人的临床资料。结果 :本研究23例病人中17例顺利完成单孔腹腔镜乙状结肠癌根治术,6例增加一个操作孔,其中5例因操作困难,1例为血管损伤。17例单孔腹腔镜操作的病人手术时间为(92.1±12.5)(65~115)min,术中出血量(46.8±19.6)(10~80)m L,下切端(2.6±1.2)cm,淋巴结获取数(13.2±4.2)(8~25)枚。术后病理均为腺癌,TNM分期:0~Ⅰ期6例,Ⅱ期4例,Ⅲ期7例。术中增加操作孔的病人:0~Ⅰ期2例,Ⅱ期2例,Ⅲ期2例。23例术后无严重并发症,术后中位随访时间10(2~15)个月,均未发现肿瘤复发或转移,无死亡病例。结论:经脐单孔腹腔镜乙状结肠癌根治术可行和安全,建议逐步开展。
Objective: To explore the feasibility, safety and clinical efficacy of transumbilical laparoscopy in the radical mastectomy for sigmoid colon cancer. Methods: The clinical data of 23 patients who undergone single-hole laparoscopic sigmoid colon cancer radical surgery from September 2013 to December 2015 in our hospital were retrospectively analyzed. Results: Seventeen of the 23 patients successfully completed the single-hole laparoscopic radical resection of sigmoid colon cancer. Six of them had an additional operation hole. Five of them had difficulty in operation and one had vascular injury. The operation time of the single-port laparoscopic operation was (92.1 ± 12.5) (65-115) min and the intraoperative blood loss (46.8 ± 19.6) (10-80) m L and the lower incision (2.6 ± 1.2) cm, Lymph node acquisition number (13.2 ± 4.2) (8 ~ 25) pieces. Postoperative pathology was adenocarcinoma, TNM staging: 0 to Ⅰ 6 cases, Ⅱ 4 cases, Ⅲ 7 cases. Surgery to increase the operation of the hole patients: 0 ~ Ⅰ 2 cases, Ⅱ 2 cases, Ⅲ 2 cases. No postoperative complications were found in 23 cases, and the median follow-up time was 10 (2-15) months after operation. No tumor recurrence or metastasis was found, and no death was found. Conclusion: Transabdominal single-port laparoscopic sigmoid colon cancer viable and safe, it is recommended to gradually carry out.