查詢結果分析
來源資料
相關文獻
- Laparoscopic Colectomy is Superior to Laparotomy for Reduction of Disability in Patients with Colorectal Adenoma
- The Outcome of Colonic Adenoma with Severe Dysplasia after Colonoscopic Polypectomy
- Laparoscopic Colectomy for Familial Adenomatous Polyposis
- 骨盆骨折病患合併腹部鈍傷之診斷
- 大腸直腸腺瘤性息肉的惡性潛力
- Associations of Metabolic Factors and Cigarette Smoking with Colorectal Adenoma Risk in Taiwanese Men
- Laparoscopic Wedge Resection of Colorectal Adenomatous Polyps
- 衛教對剖腹術患者其術前焦慮及護理滿意度之成效探討
- Totally Laparoscopic Sigmoidectomy with Transrectal Specimen Extraction
- Clinical Spectrum and Treatment of Bezoars in Adults: Experience of 20 Cases in a Single Institute
頁籤選單縮合
題名 | Laparoscopic Colectomy is Superior to Laparotomy for Reduction of Disability in Patients with Colorectal Adenoma=腹腔鏡大腸切除術能比傳統剖腹術減少大腸直腸腺瘤病人的病廢期 |
---|---|
作者姓名(中文) | 陳鴻華; | 書刊名 | 長庚醫學 |
卷期 | 22:4 1999.12[民88.12] |
頁次 | 頁586-592 |
分類號 | 416.245 |
關鍵詞 | 腹腔鏡大腸切除術; 剖腹術; 大腸直腸腺瘤; 病廢期; Laparoscopic colectomy; Laparotomy; Colorectal adenoma; Disability; |
語文 | 英文(English) |
中文摘要 | 背景:此研究在比較大腸直腸腺瘤病人接受腹腔鏡大腸切除術和傳統剖腹大腸切 除術後病廢期(disability)的差異。 方法:同一時期由同一醫生對大腸直腸腺瘤病人施行腹腔鏡大腸切除術和傳統剖腹大腸切除 術。病人的病廢期則用標準問卷來評估:包括病人回復到部份活動、完全活動和恢復工作的 時間。 結果:29位病人接受腹腔鏡手術而31位接受剖腹術切除部份結腸。腹腔鏡手術這一組包括 部份結腸切除術和迴結腸吻合術(22例),結腸直腸吻合術(5例),結腸結腸吻合術(2例)。 剖腹術則包括迴結腸吻合術(18例),結腸直腸吻合術(7例),結腸結腸吻合術(3例),迴腸 直腸吻合術(3例)。二組病人在年紀(70.4:72.5歲)(p=0.405),性別(男女比13:16和20:11) (p=0.126)。手術時聞則腹腔鏡比剖腹術長(170:131分鐘)(p<O.OOl)。然而,手術後腸隔期、 住院時聞、回復部份活動、完全活動和喪失工作的天數,腹腔鏡這一組明顯優於剖腹術:分 別為3.3比5.2天,6.2比8.7天,2.3比4.2週,4.4比9.3週以及3.7比7.3週(所有的 p<0.041)。雖然術後併發症二組中並無差異(24%比2g% p=0.325),但腹腔鏡術後併發過長的 腸隔期卻比剖腹術明顯減少(3%比26%,p=0.027)。 結論:對於患有大腸直腸腺瘤的病人,腹腔鏡大勝切除術能減少手術後的腸隔期,手術後住 院時間和病廢期,並能提早回到工作崗位。因此對於所有患有大腸直腸腺瘤須做手術切除的 病人都應考慮使用腹腔鏡大腸切除術。 |
英文摘要 | Background: This study was to evaluate disability after laparoscopic colectomy in patients with colorectal adenomas as compared to disability after laparotomy. Methods: Patients who underwent laparoscopic colectomy for colorectal adenoma were compared to patients who underwent laparotomy for the same problem by the same surgeons during the same time period in Cleveland Clinic Florida. A standard questionnaire was used to assess disability which included the number of days to return to partial activity, full activity, and work. Results: Twenty-nine patients who underwent laparoscopy were compared with 31 patients who underwent laparotomy. There were no significant differences in age (70.4 vs 72.5 years) (p=O.405) or gender (M:F 13:16 vs 20:11) (p=O.l26) between the laparoscopy and laparotomy groups. The operative time was longer for the laparoscopy group than the laparotomy group: 170 vs 131 minutes (p0.0l4). However, the duration of postoperative ileus, hospitalization, time until return to partial activity, time until return to full activity, and time off of work were significantly shorter in the laparoscopy group than in the laparotomy group: 3.3 vs 5.2 days, 6.2 vs 8.7 days, 2.3 vs 4.2 weeks, 4.4 vs 9.3 weeks, and 3.7 vs 7.3 weeks, respectively (p<O.O4l for all). Although the incidence of postoperative complications was not significantly different (24% for laparoscopy vs 29% for Iaparotomv, p=O.325), the incidence of postoperative prolonged ileus was statistically significantly lower in the laparoscopi group (3% vs 26%, p=O.O27). Conclusion: Laparoscopic colectomy for patients with colorectal adenoma can reduce postoperative ileus, postoperative hospitalization, and disability in terms of a quicker return to partial activity, full activity, and employment. Laparoscopic colectomy should be considered for all patients who have colorectal adenomas which require resection. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。