腹腔手术史对腹腔镜辅助结直肠癌手术效果的影响

The influence of the enterocoelia operation history to the laparoscope assisted colorectal cancer surgery result

目的探讨腹腔手术史对腹腔镜辅助结直肠癌手术效果的影响。方法选取我院行腹腔镜下直结肠癌手术91例患者作为研究对象,其中41例有腹腔手术史作为A组,50例无腹腔手术史作为B组,记录两组手术时间、术中出血量、排气时间、胃肠功能恢复时间及住院时间,分析两组术后并发症发生率和中转开腹率。结果两组手术时间、术中出血量、胃肠功能恢复时间、住院治疗时间及并发症发生率差异无统计学意义(P>0.05)。A组中转开腹率为14.63%,显著高于B组的2.0%,差异有统计学意义(P<0.05)。结论腹腔手术史对腹腔镜辅助结直肠癌手术无明显影响,安全可行。

【Objective】To discuss the influence of the enterocoelia operation history to the laparoscope assisted colorectal cancer surgery result. 【Method】Chose 91 cases of the patients with laparoscope assisted colorectal cancer surgery as research object, 41 cases of patients had enterocoelia operation history were group A, 50 cases of patients had no enterocoelia operation history were group B, recorded the time of operation, intraoperatve blood soss, gastrointestinal function recovery time and time of hospitalization of the two groups, analyzed the rate of postoperative complication and the conversion to laparotomy rate. 【Results】The time of operation, intraoperatve blood soss, gastrointestinal function recovery time and time of hospitalization of the two groups had no obvious difference, with no statistical significance（P〈0.05）. The conversion to laparotomy rate in group A was 14.63%, higher than group B, which was 2.0%, the difference had statistical significance（P〈0.05）. 【Conclusion】There is no obvious influence for the enterocoelia operation history to the laparoscope assisted colorectal cancer surgery, it is safe and feasible.