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首页> 外文期刊>Surgical Endoscopy >Laparoscopic colectomy for benign colorectal disease is associated with a significant reduction in disability as compared with laparotomy.
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Laparoscopic colectomy for benign colorectal disease is associated with a significant reduction in disability as compared with laparotomy.

机译：与剖腹手术相比，腹腔镜结肠切除术治疗良性结直肠疾病可大大减少残疾。

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BACKGROUND: The aim of this study was to evaluate disability after laparoscopic colectomy in patients with benign colorectal disease. METHODS: Patients who underwent laparoscopic colectomy for benign colorectal diseases were matched with patients who underwent laparotomy for the same diseases by the same surgeons during the same time period. A standardized questionnaire used to assess disability included days until return to partial activity, full activity, and work. RESULTS: Seventy-one patients who underwent laparotomy were compared with 71 patients who underwent laparoscopy. Pathology included 26 patients with adenoma, 23 with Crohn's disease, 13 with diverticulitis, and 9 with reversal of Hartmann's procedure in each group. Procedures were partial colectomy with ileocolostomy, colocolostomy, or colorectostomy. There were no significant differences (p > 0.05) in age (55.8 vs. 59.7 years) or in the incidence of perioperative complications (25% vs. 29%) between the laparoscopy and laparotomy groups, respectively. The operative time was longer in the laparoscopic group than in the laparotomy group: 165 versus 122 min (p < 0.001). However, length of hospitalization, return to partial and full activity, and time off of work were significantly shorter in the laparoscopy than in the laparotomy group: 6.3 versus 9.0 days, 2.1 versus 4.4 weeks, 4.2 versus 10.5 weeks and 3.8 versus 7.5 weeks, respectively (p < 0.01 for all). CONCLUSIONS: Laparoscopic colectomy for benign colorectal diseases was associated with significantly less disability than was laparotomy in terms of length of hospitalization as well as return to baseline partial and full activity and employment.
机译：背景：本研究的目的是评估腹腔镜结肠切除术对良性大肠疾病患者的残疾程度。方法：在同一时期内，由相同的外科医师对因良性大肠疾病而接受腹腔镜结肠切除术的患者与对相同疾病进行了剖腹手术的患者相匹配。用于评估残疾程度的标准调查表包括直到恢复部分活动，全部活动和工作的天数。结果：将71例接受了剖腹手术的患者与71例接受了腹腔镜检查的患者进行了比较。病理学每组包括26例腺瘤，23例克罗恩病，13例憩室炎和9例Hartmann手术逆转。程序为结肠结肠切除术，回肠结肠造口术或结肠直肠造口术。腹腔镜检查组和剖腹手术组之间的年龄（55.8岁对59.7岁）或围手术期并发症的发生率（25％对29％）没有显着差异（p> 0.05）。腹腔镜手术组的手术时间比开腹手术组的手术时间更长：165比122分钟（p <0.001）。但是，腹腔镜手术的住院时间，恢复部分活动和全部活动的时间以及下班时间明显比剖腹手术组要短得多：6.3天比9.0天，2.1天比4.4周，4.2天比10.5周，4.2天比10.5周和3.8天比7.5周，分别为p <0.01。结论：就住院时间以及恢复到基线的部分和全部活动和就业而言，腹腔镜结肠切除术对良性大肠疾病的致残率明显低于剖腹术。

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