...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Surgical Endoscopy >Outcome of laparoscopic colorectal resection.
【24h】

Outcome of laparoscopic colorectal resection.

机译：腹腔镜结直肠切除术的结果。

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

BACKGROUND: The aim of this study was to assess the feasibility and safety of laparoscopic surgery for colorectal diseases. METHODS: A retrospective review was undertaken of all patients undergoing a laparoscopic colorectal procedure (LCP) for large bowel disease. All operations were performed by a single experienced team. Patients were divided chronologically into three consecutive groups (G1, G2, and G3). Data collection included the incidence and cause of both "proper" and "mandatory" conversions to laparotomy, the incidence and type of early and late postoperative complications, incidence of operative mortality, and the length of hospital stay. The incidences of conversion to laparotomy and of early and late postoperative complications were also determined as related to diagnosis, type of LCP attempted, and chronological group. RESULTS: Between January 1996 and December 2001, a total of 108 patients (49 men and 59 women) with a mean age of 65.1 years underwent an LCP for colorectal disease. Proper conversion to open surgery was necessary in five patients (4.6%), whereas a mandatory conversion was needed in 10 with patients advanced cancer (9.2%). The overall morbidity rate was 11.9%. There were no anastomotic leaks. In two patients (1.85%) developed a complication requiring reoperation. Postoperative mortality was nil. Mean postoperative hospital stay was 7.2 days. The rates of conversion and of early and late complications decreased through the three chronological periods. No trocar site recurrences were observed in the cancer patients. CONCLUSION: Laparoscopic colorectal surgery performed in experienced centers is safe; the observed morbidity and mortality rates are low and acceptable and compare favorably to those observed after standard open surgery.
机译：背景：本研究的目的是评估腹腔镜手术治疗结直肠疾病的可行性和安全性。方法：对所有因大肠疾病行腹腔镜结直肠手术（LCP）的患者进行回顾性研究。所有操作均由一个经验丰富的团队执行。将患者按时间顺序分为三个连续的组（G1，G2和G3）。数据收集包括“适当”和“强制”转换为剖腹手术的发生率和原因，术后早期和晚期并发症的发生率和类型，手术死亡率的发生率以及住院时间。还确定了转换为开腹手术以及术后早期和晚期并发症的发生率，与诊断，尝试LCP的类型和按时间顺序分组有关。结果：在1996年1月至2001年12月之间，共有108例平均年龄为65.1岁的患者（49例男性和59例女性）接受了大肠癌的LCP治疗。有五名患者（4.6％）需要正确转换为开腹手术，而十名患有晚期癌症的患者（9.2％）需要强制转换。总体发病率为11.9％。没有吻合口漏。在两名患者（1.85％）中出现了需要再次手术的并发症。术后死亡率为零。术后平均住院天数为7.2天。在三个时间段内，转化率以及早期和晚期并发症的发生率均下降。在癌症患者中未观察到套管针部位复发。结论：在经验丰富的中心进行腹腔镜结直肠手术是安全的;观察到的发病率和死亡率低并且可以接受，并且与标准开放式手术后观察到的相比是有利的。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号