The experience of clinical application of laparoscopy in Miles operation

doi:10.3877/cma.j.issn.2095-3224.2014.05.16

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Chinese Journal of Colorectal Diseases(Electronic Edition) ›› 2014, Vol. 03 ›› Issue (05): 374-375. doi: 10.3877/cma.j.issn.2095-3224.2014.05.16

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The experience of clinical application of laparoscopy in Miles operation

Ke-ming ZHANG¹, Kai-xiong TAO²^,^†()

^1. Department of Gastrointestinal Surgery, Yingcheng People`s Hospital, Yingcheng 432400, China

Received:2014-10-01 Online:2014-10-25 Published:2014-10-25
Contact: Kai-xiong TAO
About author:
Corresponding author: TAO Kai-xiong, Email: tao_kaixiong@163.com

Abstract

Key words: Rectal neoplasms, Laparoscopes, Colostomy

Ke-ming ZHANG, Kai-xiong TAO. The experience of clinical application of laparoscopy in Miles operation[J]. Chinese Journal of Colorectal Diseases(Electronic Edition), 2014, 03(05): 374-375.

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组别	腹腔镜组	开腹组	P值
性别(男/女)(例)	6/18	7/22	0.4436
年龄(岁)	42.04±3.93	42.48±2.84	0.2370
术前腹痛时间(h)	10.42±1.28	11.21±1.68	0.5230
腹部手术史(例)	1	2	0.6686
合并其它系统疾病(例)	4	5	0.9558

组别	腹腔镜组	开腹组	P值
性别(男/女)(例)	6/18	7/22	0.4436
年龄(岁)	42.04±3.93	42.48±2.84	0.2370
术前腹痛时间(h)	10.42±1.28	11.21±1.68	0.5230
腹部手术史(例)	1	2	0.6686
合并其它系统疾病(例)	4	5	0.9558

组别	腹腔镜组	开腹组	P值
切口平均长度(cm)	1.55±0.53	10.86±0.68	0.0240
术中出血量(ml)	45-350(112.17)	250-1000(378.33)	0.0001
清除淋巴结数目(个)	1-28(12.35)	2-32(14.17)	0.534
手术时间(min)	120-200(168.73)	90-240(136.53)	0.102
手术费用(万元)	2.4-3.99(2.97)	2.03-3.05(2.42)	0.037
术后肠蠕动恢复时间(d)	2.25±0.68	4.41±0.95	0.0290
术后镇痛剂应用次数(次)	2.04±0.46	6.28±0.65	0.0120
术后肠粘连肠梗阻(例)	0	5	0.0326
伤口并发症(例)	0	5	0.0326
术后留置尿管时间(天)	2～7(3.17)	3～8(5.87)	0.0001
住院时间	7.50±0.98	10.76±1.67	0.0390

组别	腹腔镜组	开腹组	P值
切口平均长度(cm)	1.55±0.53	10.86±0.68	0.0240
术中出血量(ml)	45-350(112.17)	250-1000(378.33)	0.0001
清除淋巴结数目(个)	1-28(12.35)	2-32(14.17)	0.534
手术时间(min)	120-200(168.73)	90-240(136.53)	0.102
手术费用(万元)	2.4-3.99(2.97)	2.03-3.05(2.42)	0.037
术后肠蠕动恢复时间(d)	2.25±0.68	4.41±0.95	0.0290
术后镇痛剂应用次数(次)	2.04±0.46	6.28±0.65	0.0120
术后肠粘连肠梗阻(例)	0	5	0.0326
伤口并发症(例)	0	5	0.0326
术后留置尿管时间(天)	2～7(3.17)	3～8(5.87)	0.0001
住院时间	7.50±0.98	10.76±1.67	0.0390

[1]	吴新军,闫争强. 腹腔镜与开腹直肠癌根治术的对照研究. 腹腔镜外科杂志, 2012, 17(5): 371-373.
[2]	Ng ss,Leung kL,Lee JF, et aI.Laparoscro-pic-assisted rersus openobdominoperineal resection for low rectalcancer ：a prospective randomized Lrial.Ann Surg Oncol, 2008, 15(9): 2418-2425.
[3]	姜涛,刘彤,王鹏志. 腹腔镜手术与开腹手术治疗结直肠癌临床效果比较的Meta分析. 中国全科医学, 2011, 14(5): 510-515.
[4]	Asoglu O,Matlim T,Karanlik H, et al.Lampact of laparoscopic surgery on bladder and sexual function afler tolal mesorectal excision for rectal cancer.Surg Endosc, 2009, 23(2): 296-303.
[5]	Lujun J,Valero Q,Hernandez Q, et al.Randomized clincal trial comparing Laparoscopic and open surgery in patients with rectal cancer.Br J Surg, 2009, 96(9): 982-989.

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