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題名 | Comparison of Surgical Outcomes between Laparoscopic and Open Abdominoperineal Resection for Stage II/III Rectal Cancer: A Retrospective Study=比較第二期和第三期直腸癌病人接受腹腔鏡和剖腹腹部會陰聯合切除手術結果:一個回顧性研究 |
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作者 | 江明倫; 浦大維; 糠榮誠; 饒樹文; 蕭正文; 吳昌杰; 陳昭仰; 胡哲銘; 林冠勳; 顏敬恆; 沈仕傑; 林子喬; | 書刊名 | 中華民國大腸直腸外科醫學會雜誌 |
卷期 | 30:4 2019.12[民108.12] |
頁次 | 頁155-163 |
分類號 | 416.245 |
關鍵詞 | 腹部會陰聯合切除手術; 腹腔鏡; 直腸癌; 手術時間; Abdominoperineal resection; Laparoscopy; Rectal cancer; Metastasis; Operative time; |
語文 | 英文(English) |
中文摘要 | 目的:這項回顧性研究的目的是比較第二期第三期直腸癌病人接受腹腔鏡和剖腹腹部會陰聯合切除手術在臨床結果做綜合討論。方法:這項回顧性研究,共蒐集了七十二位第二期或第三期直腸癌病人,於2005年一月到2015年一月之間三十六位病人接受腹腔鏡腹部會陰聯合切除手術,三十六位病人接受剖腹腹部會陰聯合切除手術。結果:兩組病人族群之間除了身體質量指數之外在腫瘤特性及獲取的淋巴結等並無明顯差異,接受腹腔鏡腹部會陰聯合切除手術的族群平均手術時間較長,失血量較少,平均住院天數較短,其他結果在兩個族群之間並無明顯差異。結論:利用腹腔鏡手術實施腹部會陰聯合切除手術相對於剖腹腹部會陰聯合切除手術在技術上可行且安全,並且帶來較少失血量以及較短的住院天數。 |
英文摘要 | Purpose. This study aimed to review and compare the clinical outcomes of laparoscopic and open abdominoperineal resection for post-operative pathological stage II/III rectal cancer. Methods. This retrospective study was conducted in Taiwan Adventist Hospital. We included 72 patients with stage II/III rectal cancer who underwent laparoscopic or open APR between January 2005 and January 2015. The patients were divided into laparoscopic (Lap-APR; n = 36) group and open (Open-APR; n = 36) APR groups. The patient and operative data were reviewed. Wilcoxon rank-sum test was used to compare the continuous variables, while Fisher's exact test was used to compare categorical variables. Results. No significant difference was observed in patient demographics and tumor characteristics between the Lap-APR and Open-APR groups, except body mass index (p < 0.001). Additionally, no significant difference was observed in the mean number of harvested nodes between the two groups. However, the mean operative time was significantly higher in the Lap-APR group than in the Open-APR group (p = 0.02), while the mean blood loss was significantly lower in the Lap-APR group than in the Open-APR group (p < 0.0001). Moreover, the duration of postoperative hospital stay was significantly lower in the Lap-APR group than in the Open-APR group (p < 0.0001). This study also shows no significant difference in the tumor recurrence rate between the two groups. Conclusions. Lap-APR may be a technically safe and feasible approach that shows better, lower blood loss, and shorter hospital stay compared to Open-APR. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。