纳米碳示踪技术在腹腔镜结肠癌根治术中的应用

发布时间：2018-08-25 19:42

【摘要】：目的:纳米碳示踪技术在腹腔镜结肠癌根治术中的应用价值。方法:将35例结肠癌患者随机分为研究组(15例)和对照组(20例),研究组在行肿瘤组织周围黏膜或浆膜下纳米碳注射后行腹腔镜结肠癌根治术,对照组直接行腹腔镜手术,比较两组相关临床指标及淋巴结检出情况。结果:研究组与对照组的手术切口总长度、肛门排气时间、术后进食时间、住院时间差异均无统计学意义(均P0.05),但研究组的手术时间与术中出血量明显低于对照组(均P0.05)。两组除肠旁组淋巴结获取数目上差异无统计学意义外(P=0.078),研究组在淋巴结清扫总数目、5mm淋巴结数目、阳性淋巴结数目方面均优于对照组(均P0.05)。结论:腹腔镜结肠癌根治术中联合纳米碳淋巴示踪技术,能弥补腹腔镜手术触觉感的不足,做到了微创与精准并重,明显提高淋巴结检出率。
[Abstract]:Objective: to evaluate the value of nano-carbon tracer technique in laparoscopic radical colon cancer surgery. Methods: 35 patients with colon cancer were randomly divided into study group (n = 15) and control group (n = 20). The clinical indexes and lymph node detection were compared between the two groups. Results: there was no significant difference in total incision length, anal exhaust time, postoperative feeding time and hospitalization time between the study group and the control group (P0.05), but the operative time and the amount of intraoperative bleeding in the study group were significantly lower than those in the control group (P0.05). There was no significant difference in the number of lymph nodes obtained between the two groups (P0.078). The total number of lymph nodes dissected and the number of positive lymph nodes in the study group were better than those in the control group (P0.05). Conclusion: combined with nano-carbon lymphatic tracer technique in laparoscopic radical resection of colon cancer, it can make up for the deficiency of haptic sensation in laparoscopic surgery, and achieve the same emphasis of minimally invasive and accurate operation, and improve the detection rate of lymph nodes significantly.
【作者单位】：青岛大学医学院普通外科;中国人民解放军第四0一医院普通外科;中国人民解放军第四0一医院麻醉科;
【基金】：山东省青岛市公共领域科技支撑计划资助项目(2014-14-036-YY)
【分类号】：R735.35

【相似文献】