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首页> 外文期刊>Surgical Endoscopy >Bowel obstruction after laparoscopic and open colon resection for cancer: results of 5 years of follow-up in a randomized trial.
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Bowel obstruction after laparoscopic and open colon resection for cancer: results of 5 years of follow-up in a randomized trial.

机译：腹腔镜和结肠大肠切除术后肠梗阻的癌症：一项随机试验的5年随访结果。

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BACKGROUND: Postoperative bowel obstruction caused by intra-abdominal adhesions occurs after all types of abdominal surgery. It has been suggested that the laparoscopic technique should reduce the risk for adhesion formation and thus for postoperative bowel obstruction. This study was designed to compare the incidence of bowel obstruction in a randomized trial where laparoscopic and open resection for colon cancer was compared. METHODS: A retrospective analysis was performed, collecting data of episodes of bowel obstruction with or without surgery. Only episodes treated in the hospital where the index surgery took place were included. Data for 786 patients were collected for the 5-year period after cancer surgery. RESULTS: Baseline characteristics for the evaluated laparoscopic (n = 383) and open (n = 403) groups were comparable. The cumulative obstruction percentages at 5 years for the open and laparoscopic groups were 6.5 and 5.1% respectively and did not significantly differ from each other. Tumor stage seemed to influence the risk for bowel obstruction: 2.8% in stage I, 6.6% in stage II, and 7% in stage III, but the differences were not significant. CONCLUSIONS: This analysis does not support the hypothesis that laparoscopy leads to fewer episodes of bowel obstruction compared with open surgery.
机译：背景：所有类型的腹部手术后，都会发生由腹腔内粘连引起的肠梗阻。有人提出，腹腔镜技术应减少粘连形成的风险，从而减少术后肠梗阻的风险。这项研究旨在比较一项随机试验中的肠梗阻发生率，该试验比较了腹腔镜和开放式结肠癌切除术。方法：进行回顾性分析，收集有无手术的肠梗阻发作数据。仅包括在进行索引手术的医院中治疗的发作。在癌症手术后的5年中收集了786例患者的数据。结果：评估的腹腔镜组（n = 383）和开放式（n = 403）组的基线特征具有可比性。开放组和腹腔镜组在5年的累积梗阻百分比分别为6.5％和5.1％，彼此之间无显着差异。肿瘤分期似乎会影响肠梗阻的风险：I期为2.8％，II期为6.6％，III期为7％，但差异不显着。结论：该分析不支持腹腔镜检查与开放手术相比可减少肠梗阻发作的假说。

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