首页>
美国卫生研究院文献>International Surgery
>Comparison Between Transverse Mini-Incision and Longitudinal Mini-Incision for the Resection of Locally Advanced Colonic Cancer
【2h】
Comparison Between Transverse Mini-Incision and Longitudinal Mini-Incision for the Resection of Locally Advanced Colonic Cancer
We performed a retrospective review of non-overweight (body mass index ≤ 25 kg/m2) patients scheduled to undergo a curative resection of locally advanced colon cancer via a transverse mini-incision (n = 62) or a longitudinal mini-incision (skin incision ≤7 cm, n = 62), with the latter group of patients randomly selected as historical controls matched with the former group according to tumor location. Extension of the transverse mini-incision wound was necessary in 3 patients (5%). Both groups were largely equivalent in terms of demographic, clinicopathological, and surgical factors and frequency of postoperative complications. Postoperative analgesic was significantly less (P = 0.04) and postoperative length of the hospital stay was significantly shorter (P < 0.01) in the transverse mini-incision group. Concerning a mini-incision approach for locally advanced colonic cancer, a transverse incision seems to be advantageous with regard to minimal invasiveness and early recovery compared with a longitudinal incision.
展开▼
机译:我们对非超重(体重指数≤25 kg / m 2 sup>)计划通过横向小切口行根治性切除局部晚期结肠癌的患者进行回顾性回顾(n = 62)或纵向小切口(皮肤切口≤7cm,n = 62),后一组患者根据肿瘤位置随机选择作为历史对照,与前一组匹配。 3例(5%)患者需要扩大横切面切口。两组在人口统计学,临床病理和手术因素以及术后并发症发生频率上基本相同。横向小切口治疗组的术后镇痛效果显着降低(P = 0.04),术后住院时间明显缩短(P <0.01)。关于局部晚期结肠癌的微切口方法,与纵向切口相比,横向切口在最小侵入性和早期恢复方面似乎是有利的。
展开▼