临床普外科电子杂志 ›› 2025, Vol. 13 ›› Issue (4): 2-.

• •    下一篇

单切口加 1 孔腹腔镜手术在结直肠癌根治术中的可行性和临床应用价值

  

  1. 上海健康医学院附属崇明医院 普外科,上海 202150
  • 出版日期:2025-10-01 发布日期:2026-01-29
  • 基金资助:

    上海市崇明区“可持续发展科技创新行动计划”项目(CKY2022-01)

The feasibility and clinical application value of single-incision+1 laparoscopic surgery in radical resection of colorectal cancer

  1. General Surgery Department of Chongming Hospital Affiliated to Shanghai Health Medical University, Shanghai 202150, China
  • Online:2025-10-01 Published:2026-01-29

摘要:

目的 探讨单切口加 1 孔腹腔镜手术(single-incision+1 laparoscopic surgery,SILS+1)在结直肠癌根治术中的可行性和临床应用价值。方法 选取 2023 年 1 月至 2025 年 1 月上海健康医学院附属崇明医院收治的结直肠癌患者 50 例为研究对象,经随机数字表法分为观察组与对照组,各组均 25 例。其中对照组实施传统腹腔镜治疗,观察组实施 SILS+1 治疗,对比不同治疗方式下围手术期指标、并发症发生情况、排尿排便情况。结果 观察组患者的手术时长、首次下床活动用时和住院时长均较对照组短,且术中出血量较对照组少,术后疼痛评分较对照组低,差异均有显著性(P < 0.05)。治疗后,观察组患者并发症发生率显著低于对照组,且排便、排尿情况均优于对照组,差异均有显著性(P < 0.05)。结论 采取 SILS+1治疗结直肠癌患者,可缩短患者手术时间,减少术中出血量,改善排便排尿状态,且预后安全性较高。

关键词: 单切口加 1孔, 腹腔镜, 结直肠癌根治术, 并发症, 结直肠癌

Abstract:

Objective To explore the feasibility and clinical application value of single-incision+1 laparoscopic surgery(SILS+1) in radical resection of colorectal cancer. Method Fifty patients with colorectal cancer admitted to our hospital from January 2023 to January 2025 were selected as the research subjects. They were divided into the observation group and the control group by the random number table method, with 25 cases in each group. Among them, the control group received traditional laparoscopic treatment, while the observation group received SILS+1 surgical treatment. The perioperative indicators, complication rates, and urination and defecation conditions under different treatment methods were compared. Result The operation time, first ambulation time and hospitalization time of the observation group were shorter than those of the control group, and the amount of bleeding during operation was less than that of the control group. The postoperative pain score of the observation group was lower than that of the control group, with significant differences (P < 0.05). After treatment, the incidence of complications in the observation group was significantly lower than that in the control group, and the defecation and urination were better than those in the control group, with significant differences (P < 0.05). Conclusion SILS+1 in the treatment of patients with colorectal cancer can shorten the operation time, reduce the amount of bleeding during operation, improve the status of defecation and urination, and the prognosis is safe.

Key words: Single-incision+1, Laparoscopic, Radical resection of colorectal cancer, Complications, Colorectal cancer