腹腔镜直、乙状结肠切除术经脐取标本及脐再造术临床研究

Clinical study of laparoscopic straight sigmoid resection removing the specimen from the umbilical cord and umbilical reconstruction

目的:探讨腹腔镜直、乙状结肠切除术经脐取标本及脐再造术的可行性研究。方法:收治腹腔镜直、乙状结肠肿瘤切除经脐取标本及脐再造术患者76例作为试验组,对照组为同期腹腔镜直、乙状结肠肿瘤切除经左下腹5cm切口取标本患者27例。结果:两组手术时间、出血量、吻合口漏、切口感染差异无统计学意义(P>0.05),试验组再造的脐部瘢痕隐蔽,对照组左下腹腹壁5 cm手术瘢痕明显,两组美容效果差异有统计学意义(P<0.05)。结论:腹腔镜直、乙状结肠切除术经脐取标本及脐再造术方法可行,腹部美容效果明显,有临床价值。

Objective：To investigate the feasibility of laparoscopic straight sigmoid resection removing the specimen from the umbilical cord and umbilical reconstruction.Methods：76 patients with laparoscopic straight sigmoid resection removing the specimen from the umbilical cord and umbilical reconstruction were selected as the experimental group,in the control group,27 cases were removed by 5 cm incision in the left lower abdomen by laparoscopic resection of sigmoid colon tumor.Results：There was no significant difference in the operation time,the amount of bleeding,the leakage of the anastomosis and the infection of the incision（P〉0.05）,the umbilical scar reconstituted in the experimental group was concealed,the cicatricial scar of 5 cm in the left lower abdomen of the control group was obvious,the difference between the two groups of cosmetic effects was statistically significant（P〈0.05）.Conclusion：The method of laparoscopic straight sigmoid resection removing the specimen from the umbilical cord and umbilical reconstruction is feasible,the effect of abdominal cosmetology is obviously of clinical value.