经脐单孔腹腔镜手术在结直肠癌根治术中的应用

Transumbilical single-port access laparoscopic surgery for colorectal cancer

目的 探讨经脐单孔腹腔镜结直肠癌根治术的可行性及应用前景.方法 报告厦门大学附属中山医院胃肠外科2010年8-9月实施的4例经脐单孔腹腔镜结直肠癌根治术的手术方法和临床效果.结果 本组4例患者中乙状结肠癌3例,直肠癌1例.均顺利完成手术,无中转开腹者.手术平均用时206 min,平均出血量75ml,平均检出淋巴结21枚,脐部切口小且隐蔽.术后疼痛较轻,手术当日或次日即可下地活动 未出现发热、出血、肠瘘等并发症,于术后7～10d出院.结论 经脐单孔腹腔镜用于乙状结肠癌和高位直肠癌根治术安全可行,其远期疗效有待进一步观察.

Objective To evaluate the surgical outcomes after transumbilical single-port access laparoscopic surgery for colorectal cancer. Methods Patients undergoing transumbilical single-port access laparoscopic radical resection for colorectal cancer at the Zhongshan Hospital of Xiamen University were included. Results Three patients underwent transumbilical single-port access laparoscopic radical resection for sigmoid colon cancer and 1 for rectal cancer between August 2010 and September 2010. There were no intraoperative or postoperative complications. No conversion was required. The mean operative time was 206 min and the mean estimated blood loss was 75 mi. The mean number of harvested lymph nodes was 21. Patients were ambulatory in the same day of surgery or postoperative day 1. Length of hospital stay ranged from 7 to 10 days. Conclusions Transumbilical single-port access laparoscopic surgery is safe for colorectal cancer. Long-term outcomes warrant further investigation.