| 摘要 |
Objective: To investigate the complications of laparoscopic anterior resection for sigmoid colon cancer.
Methods: From January 1999 to June 2001, 58 patients of VGHTC received laparoscopic anterior resction for sigmoid colon cancer were included into this study. Another 31 patients who received converntional anterior resection for sigmoid colon cancer from July 1996 to January 1998 were also enrolled. The charts of these patients were reviewed and the post-operative complications were collected. The possible factors were examined and compared using t-test.
Results: The laparoscopic anterior resection group (LPARG) had 58 patients, 40 males and 18 females, age 66.1±10.2, and body mass index 24.2±2.9. The conventional open anterior resection group (OPARG) had 31 patients, 17 males and 14 females, age 66.8±9.7, and body mass index 23.5±2.9. The total complication rate for r=the LPARG were 72.4% and 74.2%, respectively. There was no statistical difference (p-value 0.928) between the two groups. The complication patterns of the LPARG included ureter injury (3.45%), wound infection (13.8%), prolong ileus (12.1%), trocar site hernia (3.45%), protective ileostomy (3.45%), respiratory failure (1.7%), colitis (5.2%), local recurrence (6.8%), intestine obstruction (3.45%), and other (19.0%). The complication patterns of the OPARG were local recurrence(3.2%), wound infection (19.4%), anastomosis leakage (6.4%), and prolonged ileus (35.5%), colitis (3.2%), intestine obstruction (3.2%), and others(3.2%). The surgeon’s experience of laparoscopic surgery is shown to influence complication rates for the period before and after June 2000 (p-value 0.0026). Another two factors are intra-operative blood loss of below or over 100cc (p-value 0.0097), and tumor size of larger or smaller than 3cm (p-value 0.0021).
Conclusions: The complications of laparoscopic anterior resection for sigmoid colon cancer very depending on the surgeon’s experience, tumor size (＜3cm), and intra-operative blood loss (＜100cc). |
