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首页> 外文期刊>Surgical Endoscopy >Laparoscopic surgery for inflammatory bowel disease.
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Laparoscopic surgery for inflammatory bowel disease.

机译：腹腔镜手术治疗炎症性肠病。

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BACKGROUND: Common laparoscopic colorectal procedures in patients with Crohn's disease include ileocolic resection and subtotal colectomy. The aim of this study was to compare and contrast the results of these two procedures. METHODS: Patients who underwent one of these procedures between June 1992 and January 1999 were identified and included in the study. Statistical analysis was performed using the Mann-Whitney test, Student's t-test, or Fisher's exact test. RESULTS: In all 109 patients (63 women and 46 men) with an average age of 36.7 years (range, 15-74) underwent ileocolic resection (ICR), while 21 patients (16 women and five men) with an average age of 36.5 years (range, 18-77) underwent subtotal colectomy (STC) (p = NS). There were 14 intraoperative complications, eight (7%) in the ICR group and six (29%) in the STC group (p = 0.01). Total operative time was 167 min (range, 90-285) in the ICR group and 231 min (range, 140-340) in the STC group (p < 0.01). Despite this difference in operating time, the hospital stays were very similar at 8.8 days (range, 3-27) and 8.8 days (range, 3-14) (p = NS). In 19 (17%) of the ICR patients and five (24%) of the STC patients, their procedure was converted to a laparotomy (p = NS). In the ICR group, 20 of the patients (18%) had surgery-related postoperative complications, including five anastomotic leaks. In the STC group, six of the patients (29%) had surgery-related complications, including two anastomotic leaks (p = NS). CONCLUSION: Although STC is a far more extensive procedure than ICR, the overall postoperative complication rate is not significantly different between the two groups; however, we found that there were more intraoperative complications associated with STC.
机译：背景：克罗恩氏病患者常见的腹腔镜结直肠手术包括回盲切开术和结肠全切术。这项研究的目的是比较和对比这两个过程的结果。方法：确定了在1992年6月至1999年1月间接受其中一种手术的患者，并将其纳入研究。使用Mann-Whitney检验，Student's t检验或Fisher精确检验进行统计分析。结果：平均年龄为36.7岁（范围为15-74岁）的所有109例患者（63名女性和46名男性）接受了回肠胆囊切除术（ICR），而21例患者（16名女性和5名男性）平均年龄为36.5岁年（范围18-77）进行了大肠切除术（STC）（p = NS）。有14例术中并发症，ICR组为8例（7％），STC组为6例（29％）（p = 0.01）。 ICR组的总手术时间为167分钟（范围90-285），而STC组的总手术时间为231分钟（范围140-340）（p <0.01）。尽管手术时间有所不同，但住院时间却非常相似，分别为8.8天（3-27）和8.8天（3-14）（p = NS）。在ICR患者中有19名（17％）在STC患者中有5名（24％），他们的手术被转换为剖腹手术（p = NS）。在ICR组中，有20名患者（18％）患有与手术相关的术后并发症，包括5次吻合口漏。在STC组中，六名患者（29％）患有与手术有关的并发症，包括两次吻合口漏（p = NS）。结论：尽管STC手术比ICR手术更为广泛，但两组的总体术后并发症发生率无明显差异。然而，我们发现与STC相关的术中并发症更多。

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