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| 題 名 | Single Incision Laparoscopic Colectomy for Benign Colon Diseases=單一切口腹腔鏡大腸切除手術治療良性大腸疾病 |
|---|---|
| 作 者 | 林岳民; 李克釗; 蔡鎧隆; 林尚潁; 陳鴻華; 盧建璋; | 書刊名 | 中華民國大腸直腸外科醫學會雜誌 |
| 卷 期 | 24:2 2013.06[民102.06] |
| 頁 次 | 頁57-64 |
| 分類號 | 416.245 |
| 關鍵詞 | 大腸切除手術; 單一切口腹腔鏡手術; Colectomy; Single incision laparoscopy; |
| 語 文 | 英文(English) |
| 中文摘要 | 目的:以一種自製簡單的裝置來進行單一切口多端孔腹腔鏡大腸切除手術並比較不同手術方式治療良性大腸疾病之短期結果。方法:回溯性的收集自2010三月至2011十二月,於本院因良性大腸疾病接受以一種自製簡單的裝置來進行的單一切口腹腔鏡大腸切除手術之病例。全部的手術皆由同一位外科醫師執行,收集記錄其臨床資料並進行統計分析比較。結果:總共38例病患,共計有男性20位及女性18位,其中包括11例右側大腸切除手術(平均年齡為52.7 ± 16.6歲)、18例左側大腸切除手術(平均年齡為60.2 ± 11.7 歲)及9例全大腸切除手術(平均年齡為36.3 ± 17.9歲)。各組在性別、身體質量指數、病灶大小、傷口長度及手術中失血量方面並無統計學上的顯著差異,然而在接受全大腸切除手術的這一組病患其手術時間較久、大腸切除的長度較長且年齡有較輕的趨勢。在接受左側大腸切除手術的這一組病患中,有5位病患(27.8%)於手術中使用了可彎曲的腹腔鏡器械。在術後疼痛指數及住院天數方面各組比較並無統計學上的顯著差異。結論:我們提出之簡易自製的裝置,為臨床上進行單一切口腹腔鏡大腸切除手術提供了一項安全且經濟的方法。本篇研究的結果顯示,以此簡易自製的裝置進行單一切口腹腔鏡全大腸切除手術來治療良性大腸疾病,其臨床治療結果相對安全。 |
| 英文摘要 | Purpose. The purpose of this study was to evaluate the treatment outcomes of single incision laparoscopic surgery (SILS) using a unique access for patients with benign colon diseases and to compare them with the short-term surgical outcomes among different procedures.Methods. Medical records of patients receiving SILS using a self-made multiple-port system for the treatment of benign colon diseases between March 2010 and December 2011 were collected and reviewed. All operations were performed by a single surgeon. Demographic and clinical data of patients receiving different procedures were recorded and compared.Results. Including 20 males and 18 females, 38 patients were collected for the study analyses. Among them, 11 patients received right-side colon resection, 18 received left-side colon resection, and 9 received total colectomy. No significant differences in gender, body mass index, tumor size, incision length or estimated blood loss among these groups of patients were found. However, significantly younger age, longer duration of operation and length of bowel resection were noted in the patients undergoing total colectomy. Curved instruments were used in 5 patients (27.8%) in the left-side colon resection group. There were no significant differences in the pain scores and average length of hospital stay among the three groups.Conclusions. Simple self-made access device demonstrated a safe and economic option of SILS for colorectal diseases. The study indicates that SILC performed with our self-made access device provides relatively safe clinical outcome to the patients with benign colon diseases even with total colectomy. |
本系統中英文摘要資訊取自各篇刊載內容。