皮肤无针缝合器在腹腔镜辅助结直肠癌手术中的应用

Use of incision suture closer without needle for skin suturing in laparoscopic-assisted colorectal cancer surgery

目的探讨皮肤无针缝合器在腹腔镜辅助结直肠癌手术中皮肤切口缝合的应用。方法中国医学科学院肿瘤医院为127例患者行腹腔镜辅助结直肠癌手术,随机分为皮肤无针缝合器组(60例)和皮肤钉合器组(67例),分析两组不同皮肤缝合方式对腹部切口愈合的影响。结果共有10例患者失随访,余117例患者中,54例患者使用皮肤无针缝合器,63例患者使用皮肤钉合器。患者切口I期愈合率皮肤无针缝合器组为92.6%,皮肤钉合器组为92.1%,两组差异无统计学意义(P=0.836);术后1个月时伤口瘢痕平均宽度皮肤无针缝合器组和皮肤钉合器组分别为3.1mm和3.6mm,差异具有统计学意义(P=0.038)。结论采用皮肤无针缝合器不仅不影响腹腔镜手术的切口愈合,而且临床使用简便,减少瘢痕增生,使得伤口更加美观。

Objective To explore the application of incision suture closer without needle in laparoscopie-assisted surgery for colorectal cancer. Methods Based on the type of skin suture in the laparoscopic-assisted surgery, 127 patients were colorectal cancer were randomly assigned into two groups： incision suture closer without needle and skin stapler . The data of patients were collected and analyzed for assessing the impacts on wound healing by taking different types of skin suture. Results Ten patients were lost to follow-up. In the other 117 patients, 54 patients underwent operations by using incision suture closer without needle and 63 patients used skin stapler. The rates of I-stage incision healing in the group of incision suture closer without needle and the group of skin stapler were 92.6% and 92. 1% respectively （P = 0.836）. After one month of operation, the widths of incisional scar in the group of incision suture closer without needle and the group of skin stapler were 3.1 mm and 3.6 mm respectively （ P = 0. 038 ）. Conclusion Incision suture closer without needle in laparoscopic-assisted surgery for colorectal cancer could narrow incisional scar and improve appearance of incision without affecting the incision healing.