頁籤選單縮合
| 題 名 | Suture Fixation of Cecum May Facilitate Pure Single-incision Laparoscopic Right Hemicolectomy=盲腸縫合固定改善單孔腹腔鏡右半結腸切除術 |
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| 作 者 | 呂宗儒; 陳莊偉; 蕭光宏; | 書刊名 | 中華民國大腸直腸外科醫學會雜誌 |
| 卷 期 | 29:4 2018.12[民107.12] |
| 頁 次 | 頁211-217 |
| 分類號 | 416.37 |
| 關鍵詞 | 單孔腹腔鏡手術; Single-incision laparoscopic surgery; |
| 語 文 | 英文(English) |
| 中文摘要 | 目的:單孔腹腔鏡右半結腸切除手術的切口寬度限制在直徑約3至5厘米。為了在無需額外的切口的條件之下,我們進行了一些調整用來縮短了操作的時間及減少器械互相干擾問題。方法:回顧性分析2012年8月至2016年6月患者的臨床資料,手術病理結果。結果:本研究納入的49例患者中,16例行有進行手術治療合併盲腸固定,33例無盲腸固定。手術結果有固定組手術時間較少(144.9 ± 42.6分鐘對比174.0 ± 42.6分鐘,p值=0.03)且沒有增加併發症發生。所收集案例的腫瘤大小(11.5平方公分對比13.2平方公分,p = 0.60)和淋巴結數量(20.4 ± 5.6顆對比21.2 ± 8.9顆,p = 0.77)都顯示無顯著差異。有固定組較早排氣(2.7 ± 1.1天對比3.0 ± 0.8天,p = 0.27)及出院時間較早,但無統計學差異。結論:通過固定盲腸或升結腸,在不需要額外的腹腔鏡進入口的情況之下,單孔右半結腸切除術更容易,更快速。 |
| 英文摘要 | Introduction. Operative field is limited to approximately 3 to 5 cm in diameter based on abdominal incision width for Single-incision laparoscopic right hemicolectomy. To facilitate operation without an additional port, we performed some adjustments to shorten the duration of the operation and reduce difficulty. Methods. Aretrospective analysis of patient clinical data, and the surgical and pathology outcome from August 2012 to June 2016 was performed. Results. Of 49 patients enrolled in this research, 16 underwent surgery with and 33 without cecum suture fixation. Operative time was less in the fixation group without an increase in complication rate (144.9 ± 42.6 minutes vs. 174.0 ± 42.6 minutes, p = 0.03). Tumor size (11.5 cm^2 vs. 13.2 cm^2, p = 0.60 and number of lymph nodes harvested (20.4 ± 5.6 vs. 21.2 ± 8.9, p = 0.77) showed no significant difference between the groups. Flatus starting (2.7 ± 1.1 days vs. 3.0 ± 0.8 days, p = 0.27) and discharge times were mild early in the fixation group but there was no statistical difference. Conclusion. By fixating the cecum or ascending colon, pure single incision right hemicolectomy is made easier and faster without an additional port. |
本系統中英文摘要資訊取自各篇刊載內容。