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首页> 外文期刊>BMC Surgery >Initial experience of reduced port surgery using a two-surgeon technique for colorectal cancer
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Initial experience of reduced port surgery using a two-surgeon technique for colorectal cancer

机译：使用两种外科医生的技术进行结直肠癌的缩小端口手术的初步经验

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Background With the decreasing number of surgeons on surgical teams, reduced port surgery (RPS) operations have become popular. We herein present our initial experience with RPS, which was successfully performed using a two-surgeon technique. A retrospective analysis was performed to compare the two-surgeon technique with conventional laparoscopic colectomy and evaluate its efficacy. Methods A total of 535 patients were eligible among 749 registered patients. Conventional multiport laparoscopic colectomy with three surgeons and RPS using the two-surgeon technique with a surgeon and surgeon’s assistant were performed in 429 and 106 cases, respectively. The patient characteristics, short-term outcomes (including intraoperative and postoperative findings) and pathological results were recorded and analyzed. Results The two groups were similar with respect to age, gender, BMI, history of abdominal surgery, depth of tumor invasion and TNM classification. Reconstruction via extracorporeal functional end-to-end anastomosis was performed in a significantly higher number of patients in the two-surgeon technique group (74?%) than in the conventional laparoscopic colectomy group (57?%). Furthermore, the mean operative time in the two-surgeon technique group (117.9?min) was significantly shorter than that observed in the conventional laparoscopic colectomy group (170?min), and the median postoperative hospital stay was significantly shorter in the two-surgeon technique group (6?days) than in the conventional laparoscopic colectomy group (7?days). There were no major postoperative complications. The final TNM stage was similar in both procedures. Conclusion RPS using the two-surgeon technique compares favorably with conventional laparoscopic colectomy and is considered to be a safe and successful procedure.
机译：背景技术随着外科手术队中外科医生人数的减少，减少端口手术（RPS）的手术已变得很普遍。我们在这里介绍了我们在RPS方面的初步经验，该经验是通过使用两种外科医生技术成功完成的。进行回顾性分析，以比较两种外科手术技术与常规腹腔镜结肠切除术并评估其疗效。方法749例登记患者中共有535例符合条件。常规的由三名外科医生进行的多端口腹腔镜结肠切除术和RPS采用两外科医生技术并由外科医生和外科医生的助手进行辅助手术，分别治疗了429例和106例。记录并分析患者的特征，短期结局（包括术中和术后发现）和病理结果。结果两组在年龄，性别，BMI，腹部手术史，肿瘤浸润深度和TNM分类方面相似。与传统的腹腔镜结肠切除术组（57％）相比，在两种外科医生技术组（74 %%）的患者中，通过体外功能性端到端吻合术进行的重建显着增加。此外，两次手术技术组的平均手术时间（117.9min）比传统的腹腔镜结肠切除术组的平均手术时间（170min）明显缩短，两次手术的中位住院时间明显缩短。技术组（6天）比常规腹腔镜结肠切除术组（7天）高。没有重大的术后并发症。两种程序中的最终TNM阶段相似。结论采用双刀技术的RPS与常规腹腔镜结肠切除术相比具有优势，被认为是一种安全，成功的手术方法。

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