...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Surgical Endoscopy >Laparoscopic palliative surgery for complicated colorectal cancer.
【24h】

Laparoscopic palliative surgery for complicated colorectal cancer.

机译：腹腔镜姑息手术治疗大肠癌。

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 evaluate the feasibility and outcomes of the laparoscopic approach for the palliation of advanced complicated colorectal cancer (CRC). METHODS: We reviewed 21 laparoscopic palliative procedures for emergent complications of advanced CRC between 1994 and 2002. Intraoperative complications, estimated blood loss, transfusions, operative times, time to first bowel movement, length of hospital stay, and postoperative complications were assessed. RESULTS: Indications for surgery included perforation (n = 10), bleeding (n = 7), and obstruction (n = 4). A proximal diverting procedure was performed in all patients, and a concomitant colon resection was performed in 18 patients (86%). The mean operative time was 181 +/- 22 min. Estimated blood loss was 283 +/- 48 cc, with three patients (14%) requiring transfusions. The average length of hospital stay was 8.6 +/- 2 days, and time to first bowel movement was 61 +/- 9 h. The complication rate and the 30-day mortality rate were 33% and 0%, respectively. CONCLUSION: A laparoscopic approach to address advanced CRC is safe and effective and should be considered part of the surgeon's armamentarium for the palliation of advanced complicated CRC.
机译：摘要背景：本研究的目的是评估腹腔镜手术治疗晚期复杂性大肠癌（CRC）的可行性和结果。方法：我们回顾了1994年至2002年间21例腹腔镜姑息手术治疗晚期CRC的紧急并发症。评估了术中并发症，估计的失血量，输血量，手术时间，首次排便时间，住院时间和术后并发症。结果：手术适应证包括穿孔（n = 10），出血（n = 7）和阻塞（n = 4）。所有患者均进行了近端转移手术，并在18例患者（86％）中进行了结肠切除术。平均手术时间为181 +/- 22分钟。估计失血量为283 +/- 48 cc，其中三名患者（14％）需要输血。平均住院时间为8.6 +/- 2天，首次排便的时间为61 +/- 9 h。并发症发生率和30天死亡率分别为33％和0％。结论：腹腔镜治疗晚期结直肠癌是安全有效的，应被视为外科医生用于缓和晚期复杂CRC的武器库的一部分。

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