Application of PCOA+ NOSES with 3D high-resolution laparoscopic radical operation for left sided colon cancer

中华普通外科杂志 Pub Date : 2020-02-25 DOI:10.3760/CMA.J.ISSN.1007-631X.2020.02.006

Junwei Bai, Chao Zhang, Zhi-kai Wang, Hui Zhang, Yi Xie, Junmeng Li, Chunbo Zhang

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Abstract

Objective To evaluate the PCOA+ NOSES with 3D laparoscopy in the left colon cancer radical resection. Methods In this study 64 patients underwent PCOA+ NOSES with 3D laparoscopic radical operation of the left colon cancer in He′nan Provincial People′s Hospital from June 2016 to June 2019. Result The operation time was(146±53)min, time for anastomosis of PCOA was(30.3±2.5)min, intraoperative blood loss was (51±26)ml, the bowel function recovered in (2.1±1.3)d, the time to semi-liquid diet was (4.1±1.4)d, time to being up and about was (1.3±0.6) d, the mean postoperative hospital stay was (5.4±1.4)d, the number of lymph nodes dissection was (22±9.5), the inhospital cost was (4.1±1.2) ten thousand yuan. Complications developed in 4 patients(6%), one of intestinal obstruction, one of anastomotic leakage, one patient had ascites and infection, one suffred pulmonary infection. Conclusion The PCOA+ NOSES with 3D laparoscope in the left colon cancer radical resection was safe and feasible. Key words: Colonic neoplasms; Anastomosis, surgical; Colectomy; Laparoscopy

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PCOA+NOSES联合三维高分辨率腹腔镜左半结肠癌根治术的应用

目的探讨三维腹腔镜下应用PCOA+NOSES行左结肠癌根治术的疗效。方法本研究于2016年6月至2019年6月在河南省人民医院对64例左结肠癌患者进行了PCOA+NOSES三维腹腔镜根治术。结果手术时间为（146±53）min，PCOA吻合时间为（30.3±2.5）min，术中出血量为（51±26）ml，肠功能恢复时间为（2.1±1.3）d，半流质饮食时间为（4.1±1.4）d，苏醒时间为（1.3±0.6）d，术后平均住院时间为（5.4±1.4）天，淋巴结清扫次数为（22±9.5）次，住院费用为（4.1±1.2）万元。并发症4例（6%），1例为肠梗阻，1例发生吻合口瘘，1例出现腹水和感染，1例肺部感染。结论三维腹腔镜PCOA+NOSES行左结肠癌癌症根治术安全可行。关键词：结肠肿瘤；吻合，外科；结肠切除术；腹腔镜检查

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中华普通外科杂志

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