| 崔滨滨 陈刚 刘彦龙 韩鹏 陈洪生 周飞 于雪峰 徐海涛.体重指数对腹腔镜直肠癌根治术的影响及分析[J].,2014,14(1):126-129 |
| 体重指数对腹腔镜直肠癌根治术的影响及分析 |
| Study of Body Mass Index(BMI) for the Impact of LaparoscopicRadical Resection of Rectal Cancer |
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| DOI： |
| 中文关键词: 直肠癌 体重指数 腹腔镜 |
| 英文关键词: Rectal cancer Body mass index Laparoscopy |
| 基金项目:黑龙江省教育厅科学技术研究项目（11541129） |
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| 中文摘要: |
| 目的：回顾性分析我院同一组医生施行腹腔镜下直肠癌根治术患者的临床资料，探讨体重指数对于腹腔镜直肠癌根治术的
影响，评估腹腔镜下直肠癌根治术在肥胖患者中的应用。方法：选择2009 年1 月至2010 年12 月因直肠癌在我院行腹腔镜直肠
癌根治术的患者199 例为研究对象，根据患者不同体重指数分为3 组，正常体重组：BMI<24.0 kg/m2 143 例、超重组：24.0 <=BMI<
28.0 kg/m2 50 例、肥胖组：BMI>=28.0 kg/m2 6 例，进而比较3 组间患者围术期的各项指标，包括手术时间，估计术中出血量，术后
住院时间，取检淋巴结数，对正常体重组，超重组及肥胖组三组患者围术期的各项数据进行比较。结果：3 组患者均顺利完成手术，
无术中死亡病例。1例患者中转开腹，中转开腹率为0.5%。1例患者术后3 天死亡。分别比较三组间的手术时间、术中出血量、取
检淋巴结数、术后住院天数，在正常体重组、超重组、肥胖组，手术时间分别为183.5± 49.1 min, 191.2± 54.3 min, 170.0± 26.8 min；
术中出血量分别为65.6± 66.4 mL, 59.9± 61.1 mL, 83.3± 20.4 mL；取检淋巴结数分别为10.5± 6.8 枚、9.0± 4.3 枚、11.5± 10.0 枚；
术后住院天数分别为13.1± 3.8 天、13.1± 3.6 天、12.7± 1.0 天，差异均无统计学意义（P>0.05）。结论：腹腔镜下直肠癌根治术是一
种安全、有效的手术方式，可安全地用于肥胖患者，可体现出其微创优势。 |
| 英文摘要: |
| Objective: To Study of body mass index (BMI) for the impact of laparoscopic radical resection of rectal cancer. Methods: 199 patients who were diagnosed with rectal cancer treated with laparoscopic radical resection between January 2009 and
December 2010 were divided with normal weight group: BMI<24.0 kg/m2 (n=143), ultra weight group: 24.0<=BMI<28.0 kg/m2 (n=50),
and obesity group: BMI>=28.0 kg/m2 (n=6). Then, we made the comparison among 3 groups according the parameters of perioperative
period, including operation time, estimated blood loss, postoperative hospital stay, and lymph node number. Results: All patients were
successfully completed operation, and no intraoperative deaths. 1 patients were converted to laparotomy (0.5%), and 1 patients died 3
days after operation. Through the comparison, there were no statistically significant in operation time, blood loss, time in hospital, and
lymph node number (P>0.05). Operating time for normal weight group, ultra weight group and obesity group was 183.5± 49.1 min,
191.2± 54.3 min, 170.0± 26.8 min; blood loss was 65.6± 66.4 mL, 59.9± 61.1 mL, 83.3± 20.4 mL; lymph node number was 10.5± 6.8,
9.0± 4.3, 11.5± 10.0; time in hospital was 13.1± 3.8 days, 13.1± 3.6 days, 12.7± 1.0 days.Conclusion: Laparoscopic radical surgery for
rectal cancer is a safe, effective operation mode, which can be safely used in patients with obesity, and reflect its minimally invasive
advantages. |
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