经脐单切口腹腔镜结肠癌根治术的临床分析

Clinical analysis of transumbilical single incision laparoscopic radical resection of colon cancer

目的分析经脐单切口腹腔镜结肠癌根治术的临床效果。方法采用回顾性分析的方法,将深圳市福永人民医院收治的42例结肠癌患者分为观察组和对照组,其中对照组采用的是传统的腹腔镜手术,观察组采用的是单切口腹腔镜手术,观察并对比两组患者的临床效果。结果两组在手术时间、失血量、淋巴结清扫、术后并发症等方面差异均无显著性(P>0.05)。而在切口长度、术后进食时间、住院时间、住院费用等方面观察组明显优于对照组(P<0.05)。结论经脐单切口腹腔镜结肠癌根治术,是一种损伤小、安全有效的手术方式,值得临床推广。

Objective To study the clinical curative effect of transumbilical single incision and traditional laparoscopic radical resection of colon cancer. Methods To retrospectively analyze 42 cases of colon cancer from February 2013 to January 2016 in Fuyong People＇s hospital, these cases were divided into the observation group and the control group. the control group was treated with conventional laparoscopic treatment, the observation group was treated with the transumbilical single port laparoscopic surgery, and the clinical treatment effect of the two groups were observed and compared. Results The operation time, blood loss, lymph node dissection, complication had no obvious difference between observation group and control group （P〉0.05）.The length of incision, eating time, hospital stay time, costs in hospital of observation group were superior than control group（P〈0.05）. Conclusion The transumbilieal single incision laparoscopic surgery is a kind of safe and effective operation method with minimal damage ,which deserves further clinical applications.