Objective To observe the outcome of suspended gasless laparoscopic with gas laparoscopic in colorectal carcinoma patients. Methods Totally 56 patients from 2006 June to 2009 July who underwent gasless laparoscopic or laparoscopic colorectal tumorectomy were enrolled. 30 patients underwent suspended gasless lapam-scopic and 26 patients underwent gas laparoscopic tumorectomy. Operating time, bleeding volume, lymph node clearance number and the time of passage gas by anus were recorded and compared separately. Results The oper-ating time of gasless laparoscopic group was 180-310 minutes[mean(234.29±10.89) minutes] and The operating time of gaslaparoscopic group was 205-480 min [mean (266.36±13.53) min] (P=0.1). The number of lymph node clearance :gasless laparescopic group: 10-15, mean value: 12.64±0.48; gas laparoscopic group: 9-17, mean value :13.00±0.47. The time of passage gas by anus: gasless laparoscopic group:26-43 h,mean value: (34.50±5.54) h; gas laparoscopic group: 18-48 h, mean value: (30.73±7.11) h. The postoperative pain degree: gasless laparoscopic group:2-5, mean value:3.21±0.21; gas laparoscopic group:2-5, mean value:3.14±0.12. In the gas laparoscopic group, one case had urethra injury and two cases were converted to open operations. In the gasless laparoscopic group, one case had rectal-vagina fistula. During postoperative period of rectectomy, each group had one case that had anastomotic stoma fistula. There was no statistic significance between these two groups. Conclu-sions Abdominal wall lifting laparoscopy is a safe method of operation. The operation time, bleeding volume and lymph node clearance number showed no significant difference between these two methods. Suspended gasless lapa-roscopic surgery is a way of laparoscopic operation without CO_2 and it may become a promising option for the patients with cardiacrespiratory dysfunction or old age.%目的 对比观察无气腹腹腔镜(悬吊组)与气腹腹腔镜(气腹组)在大肠癌手术中的应用效果.方法 回顾性调查2006年6月至2009年7月接受腹腔镜大肠癌手术治疗患者56例;其中,悬吊组30例,气腹组26例;将手术时间、清除淋巴结数、术后排气时间、术后疼痛评分、术中意外损伤、术后并发症进行对比观察.结果 手术时间:悬吊组180～310 min,平均(234.29±10.89)min;气腹组205～480 min,平均(266.36±13.53)min,P=0.1.清除淋巴结数:悬吊组10～15枚,平均(12.64±0.48)枚;气腹组9～17枚,平均(13.00±0.47)枚.术后排气时间:悬吊组26～43 h,平均(34.50±5.54)h;气腹组18～48 h,平均(30.73±7.11)h.术后疼痛评分(去除术中中转开腹者):悬吊组2～5分,平均(3.21±0.21)分;气腹组2～5分,平均(3.14±0.12)分.2组各指标之间差异均无统计学意义(均P>0.05).结论 无气腹腹壁悬吊技术应用于大肠癌腹腔镜手术是安全可行的.此术式是一种不用二氧化碳气腹的微创手术方法,可成为适合心肺功能较差及老年患者选择的一种术式.
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