经脐单孔SILS-Port腹腔镜结肠次全切除术治疗慢传输型便秘10例报告

发布时间：2018-06-17 13:52

本文选题：经脐单孔SILS-Port + 经自然腔道内镜手术　；参考：《中国微创外科杂志》2017年01期

【摘要】：目的探讨经脐单孔SILS-Port腹腔镜结肠次全切除术治疗慢传输型便秘的安全性与可行性。方法 2014年12月~2015年6月我院采用经脐单孔SILS-Port腹腔镜结肠次全切除术治疗慢传输型便秘10例,记录术后疼痛及腹壁美容满意度评分,采用Wexner便秘评分、便秘症状严重程度评分和胃肠生活质量指数评价便秘治疗的疗效。结果均顺利完成手术,手术时间(217±35)min,术中出血量(36±11)ml。均无术后出血、吻合口漏、腹腔感染、肠梗阻及肛门失禁等并发症发生。首次排气、排便时间分别为(2.4±0.8)d和(2.9±0.6)d,术后切口疼痛VAS评分(3.3±0.5)分,术后腹壁美容满意度评分(4.3±0.5)分。术后6个月Wexner便秘评分(4.5±1.0)分,显著低于术前(22.0±1.9)分(t=26.087,P=0.000);便秘症状严重程度评分(5.5±0.5)分较术前(23.2±0.9)分,明显降低(t=52.836,P=0.000);胃肠生活质量指数(105.7±3.9)分,较术前(77.4±6.0)分明显提高(t=-12.457,P=0.000)。结论经脐单孔SILS-Port腹腔镜结肠次全切除术治疗慢传输型便秘安全可行,腹壁美容效果好,近期疗效满意。
[Abstract]:Objective to investigate the safety and feasibility of transumbilical single hole SILS-Port laparoscopic subtotal colectomy in the treatment of slow transit constipation. Methods from December 2014 to June 2015, 10 patients with slow transit constipation were treated by transumbilical single hole SILS-Port laparoscopic subtotal colectomy. The scores of postoperative pain and abdominal beauty satisfaction were recorded, and Wexner constipation score was used. The severity of constipation symptoms and gastrointestinal quality of life index were used to evaluate the efficacy of constipation treatment. Results the operation was completed successfully, the operative time was 217 卤35 minutes, and the blood loss during operation was 36 卤11 ml. No postoperative bleeding, anastomotic leakage, abdominal infection, intestinal obstruction and anal incontinence occurred. The time of first venting and defecation were 2.4 卤0.8 days and 2.9 卤0.6 days, respectively. The VAS score of postoperative incision pain was 3.3 卤0.5, and that of abdominal wall beauty satisfaction was 4.3 卤0.5). At 6 months after operation, the score of Wexner constipation was 4.5 卤1.0, which was significantly lower than that before operation (22. 0 卤1. 9), the score of severity of constipation was 5. 5 卤0. 5) and the score of severity of constipation was 22. 2 卤0. 9), which significantly decreased the score of 52.836 P0. 000. the quality of gastrointestinal life index (GLI) was 105.7 卤3. 9), which was significantly higher than that before operation (77.4 卤6. 0). Conclusion transumbilical single hole SILS-Port laparoscopic subtotal colectomy for slow transit constipation is safe and feasible.
【作者单位】：成都肛肠专科医院便秘科;
【分类号】：R656.9

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