单孔与多孔腹腔镜结肠癌右半结肠切除术的比较结果分析

S. Hosseini, Mohammed Abdzaid Akool, Mozhdeh Zamani
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引用次数: 0

摘要

背景:近年来,单孔腹腔镜结肠切除术(SPLC)作为一种新的结肠手术技术被引入。尽管有几项研究,但现有的结果过于稀少,无法准确识别SPLC和传统多口腹腔镜结肠切除术(MPLC)之间的差异。在持续的努力中,这项研究的目的是比较这两种技术在结肠癌患者中的应用。方法:76例接受SPLC或MPLC治疗的结肠癌患者参加本研究。统计资料及并发症,如年龄、性别、手术时间、住院时间、术中出血量、内脏器官损伤等。随访6个月。统计学分析采用SPSS软件,采用t检验、卡方检验或Fisher精确检验。结果:SPLC组与MPLC组并发症相似。SPLC组手术时间明显缩短(P = 0.003)。其他因素差异无统计学意义(P > 0.05)。结论:从目前的研究来看,术者经验、结直肠疾病类型、结直肠切除类型的差异可能会影响手术时间和住院时间等结果。因此,对更大的数据集进行进一步的连贯调查是进行详细比较的必要条件。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Comparative Outcomes Analysis of Single-Port versus Multi-Port Laparoscopic Right Hemicolectomy in Colon Cancer
Background: In recent years, single-port laparoscopic colectomy (SPLC) has been introduced as a new technique for colorectal surgery. Despite several studies, available results are too sparse to accurately identify differences between SPLC and conventional multiport laparoscopic colectomy (MPLC). In a continuing effort, the aim of this study was to compare these two techniques in colon cancer patients. Methods: 76 patients with colon cancer who underwent either SPLC or MPLC took part in this study. Demographic data and complications such as age, gender, operative time, hospital stay, intra-operative blood volume loss, and internal organ injury were assessed. The patients were followed up for 6 months. Statistical analysis was performed by SPSS software using Student’s t-test, Chi-square test, or Fisher’s exact test. Results: The complications were similar in both SPLC and MPLC groups. Operative time was significantly lower in SPLC (P = 0.003). No significant differences were observed in other factors (P > 0.05). Conclusions: According to studies conducted so far, it seems that the difference in the surgeon’s experience, types of the colorectal diseases, and types of the colorectal resection may affect the outcomes like operative time and hospital stay. Therefore, further coherent investigations with larger datasets are essential for a detailed comparison.
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