摘要
目的探讨腹腔镜结直肠癌切除联合肝转移灶射频术治疗结直肠癌肝转移的效果。方法选取2013年1月至2013年12月结直肠癌肝转移患者39例,依据手术方式分为两组。腹腔镜组16例行腹腔镜结直肠癌切除联合肝转移灶射频消融术,开腹术组23例行传统开腹结直肠癌联合肝转移灶切除术。分析两组患者临床资料、围术期指标及随访结果。结果腹腔镜组手术时间、术中出血量、住院时间、术后首次排气时间少于开腹术组(P<0.05)。腹腔镜组术中输血1例(6.25%),开腹术组13例(56.52%),腹腔镜组术中输血比例少于开腹术组(P=0.001)。开腹术组术后并发症发生率(47.83%)高于腹腔手术组(25.00%),但差异未见统计学意义(P>0.05)。两组术后5年累计生存率比较,差异未见统计学意义(P=0.150)。结论腹腔镜结直肠癌切除联合肝转移灶射频消融术近期疗效良好,术中出血量少,术后并发症少,患者恢复快,远期疗效及安全性与传统开腹手术相当。
Objective To investigate the effect of laparoscopic colorectal cancer resection combined with hepatic metastatic cooker radiofrequency on hepatic metastasis of colorectal cancer.Methods A total of 39 patients with hepatic metastasis of colorectal cancer from January 2013 to December 2013 were selected according to the surgical method,which was divided into two groups.In laparoscopic group16 cases were given laparoscopic colorectal cancer resection combined with radiofrequency ablation of hepatic metastases,and 23 cases were given traditional open colorectal cancer combined with hepatic metastases in laparotomy group.The clinical data,perioperative indexes and follow-up results of two groups of patients were analyzed.Results The operation time,intraoperative bleeding,hospitalization time and postoperative first exhaust time in laoaroscopic group were less than those of laparotomy group(P<0.05).In the laparoscopic group,1 case(6.25%)and 13 cases(56.52%)were in the laparotomy group,and the proportion of blood transfusion in laparoscopic group was less than that in the laparotomy group(P=0.001).The proportion of postoperative complications in the laparotomy group(47.83%)was higher than that of peritoneal surgery group(25.00%),but the difference was not significant(P>0.05).There was no significant difference in the cumulative survival rate of the two groups after 5 years of operation(P=0.150).Conclusions Laparoscopic colorectal cancer resection combined with hepatic metastatic cooker radiofrequency ablation has good short-term effect,less bleeding during operation,less postoperative complications and rapid recovery.The long-term efficacy and safety is comparable to traditional open surgery.
作者
何祖坤
邱有玉
丁珏宁君
苏丹
白松
He Zukun;Qiu Youyu;Ding Jueningjun;Su Dan;Bai Song(The First Affiliated Hospital of Kunming Medical University,Kunming 650500,China)
出处
《临床医学》
CAS
2019年第5期1-4,共4页
Clinical Medicine
基金
国家自然科学基金(8166100454)
云南省科技计划项目(2017FE468-174)~~
关键词
结直肠癌
肝转移
腹腔镜
射频消融
Colorectal cancer
Liver metastasis
Laparoscopy
Radiofrequency ablation