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首页> 外文期刊>Surgical Endoscopy >Pelvic peritoneum closure reduces postoperative complications of laparoscopic abdominoperineal resection: 6-year experience in single center
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Pelvic peritoneum closure reduces postoperative complications of laparoscopic abdominoperineal resection: 6-year experience in single center

机译：盆腔腹膜闭合减少了腹腔镜腹腔切除术的术后并发症：单中心6年的经验

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摘要

Background To investigate feasibility of laparoscopic abdominoperineal resection with pelvic peritoneum closure (LAPR-PPC) for lower rectal cancer. Methods LAPR-PPC has been used for lower rectal cancer in our institution since 2014. In this study, we retrospectively analyzed the data from 86 patients who underwent LAPR-PPC and compared with the data from 96 patients who underwent laparoscopic APR without PPC (LAPR) from January 2013 to December 2018. Results The rate of perineal surgical site infection (SSI) (18.75% (18/96) vs. 5.81% (5/86), p 4 weeks) perineal healing (12.50% (12/96) vs. 3.49% (3/86), p = 0.027), ileus (7.29% (7/96) vs 1.16% (1/86), p = 0.044), and postoperative perineal hernia (PPH, 5.21% (5/96) vs. 0% (0/86), p = 0.032) were significantly lower in LAPR-PPC group than LAPR group. The patients in LAPR-PPC group had shorter hospitalization time (21.32 +/- 11.95 days vs. 13.93 +/- 11.51 days, p < 0.01). Conclusions PPC procedure enabled the reduction in perineal wound complications, ileus, PPH, and consequently shortened hospitalization time. LAPR-PPC is beneficial for the patients with lower rectal cancer.
机译：背景：探讨腹腔镜腹会阴切除联合盆腔腹膜闭合术（LAPR-PPC）治疗低位直肠癌的可行性。方法自2014年起，我院采用LAPR-PPC治疗低位直肠癌。在这项研究中，我们回顾性分析了2013年1月至2018年12月期间86例接受LAPR-PPC治疗的患者的数据，并与96例接受腹腔镜APR而无PPC（LAPR）治疗的患者的数据进行了比较。结果LAPR-PPC组会阴手术部位感染（SSI）（18.75%（18/96）vs.5.81%（5/86），会阴愈合（12.50%（12/96）vs.3.49%（3/86），p=0.027），肠梗阻（7.29%（7/96）vs.1.16%（1/86），p=0.044）和术后会阴疝（PPH，5.21%（5/96）vs.0%（0/86），p=0.032）的发生率明显低于LAPR组。LAPR-PPC组患者住院时间较短（分别为21.32+/-11.95天和13.93+/-11.51天，p<0.01）。结论PPC手术可减少会阴伤口并发症、肠梗阻、PPH，从而缩短住院时间。LAPR-PPC对低位直肠癌患者有益。

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  • 来源
    《Surgical Endoscopy》 |2021年第1期|共9页
  • 作者

    Yan Xialin; Su Hao; Zhang Sen; Zhou Leqi; Lu Jiaoyang; Yang Xiao; Li Jianwen; Xue Pei; He Zirui; Wang Mingliang; Lu Aiguo; Ma Junjun; Zang Lu; Cai Zhenghao; Sun Jing; Hong Hiju; Zheng Minhua; Feng Bo;

  • 作者单位

    Shanghai Jiao Tong Univ Sch Med Ruijin Hosp Dept Gen Surg Shanghai Minimally Invas Surg Ctr 197;

    Shanghai Jiao Tong Univ Sch Med Ruijin Hosp Dept Gen Surg Shanghai Minimally Invas Surg Ctr 197;

    Shanghai Jiao Tong Univ Sch Med Ruijin Hosp Dept Gen Surg Shanghai Minimally Invas Surg Ctr 197;

    Shanghai Jiao Tong Univ Sch Med Ruijin Hosp Dept Gen Surg Shanghai Minimally Invas Surg Ctr 197;

    Shanghai Jiao Tong Univ Sch Med Ruijin Hosp Dept Gen Surg Shanghai Minimally Invas Surg Ctr 197;

    Shanghai Jiao Tong Univ Sch Med Ruijin Hosp Dept Gen Surg Shanghai Minimally Invas Surg Ctr 197;

    Shanghai Jiao Tong Univ Sch Med Ruijin Hosp Dept Gen Surg Shanghai Minimally Invas Surg Ctr 197;

    Shanghai Jiao Tong Univ Sch Med Ruijin Hosp Dept Gen Surg Shanghai Minimally Invas Surg Ctr 197;

    Shanghai Jiao Tong Univ Sch Med Ruijin Hosp Dept Gen Surg Shanghai Minimally Invas Surg Ctr 197;

    Shanghai Jiao Tong Univ Sch Med Ruijin Hosp Dept Gen Surg Shanghai Minimally Invas Surg Ctr 197;

    Shanghai Jiao Tong Univ Sch Med Ruijin Hosp Dept Gen Surg Shanghai Minimally Invas Surg Ctr 197;

    Shanghai Jiao Tong Univ Sch Med Ruijin Hosp Dept Gen Surg Shanghai Minimally Invas Surg Ctr 197;

    Shanghai Jiao Tong Univ Sch Med Ruijin Hosp Dept Gen Surg Shanghai Minimally Invas Surg Ctr 197;

    Shanghai Jiao Tong Univ Sch Med Ruijin Hosp Dept Gen Surg Shanghai Minimally Invas Surg Ctr 197;

    Shanghai Jiao Tong Univ Sch Med Ruijin Hosp Dept Gen Surg Shanghai Minimally Invas Surg Ctr 197;

    Shanghai Jiao Tong Univ Sch Med Ruijin Hosp Dept Gen Surg Shanghai Minimally Invas Surg Ctr 197;

    Shanghai Jiao Tong Univ Sch Med Ruijin Hosp Dept Gen Surg Shanghai Minimally Invas Surg Ctr 197;

    Shanghai Jiao Tong Univ Sch Med Ruijin Hosp Dept Gen Surg Shanghai Minimally Invas Surg Ctr 197;

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  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 诊断学;
  • 关键词

    Abdominoperineal resection; Laparoscopic surgery; Lower rectal cancer; Pelvic peritoneum closure; Postoperative complications; Proctectomy;

    机译：腹会阴切除术;腹腔镜手术;低位直肠癌;盆腔腹膜闭合术;术后并发症;直肠切除术;

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