背景:我们在患者人口统计学方面比较了三角吻合(TRI)与功能性端到端吻合(FEEA),临床病理特征,以及这项研究的短期和长期结果。
方法:2005年11月至2016年5月,315例横结肠癌患者行腹腔镜切除术。62例患者进行了TRI,253例患者进行了FEEA。患有另一种伴随癌症的患者,接受新辅助化疗的人,和/或同时接受另一次手术的人被排除在外。
结果:每组患者的背景具有可比性。在FEEA的TRI和右半结肠切除术中,选择横向结肠切除术的频率更高。TRI手术时间较短。吻合口漏的发生率相当(TRI中1.6%与0.8%在FEEA)。狭窄在TRI中更为常见(8.1%与0%),出血在FEEA中更为常见(1.6%vs.10.6%)。各组的远期并发症发生率相当。0-III期患者的总生存率在每组中具有可比性(TRI中的94.7%与在FEEA中为93.7%)。0-III期5年无病生存期,第二阶段,和III期患者在每组中也具有可比性(94.8%vs.93.0%,100%vs.92.1%,和80.3%vs.TRI和FEEA的79.2%,分别)。
结论:两组的短期和长期结局率都是可以接受的。每个吻合程序都需要预防并发症的特定尝试。
BACKGROUND: We compared triangulating anastomosis (TRI) with functional end-to-end anastomosis (FEEA) in terms of patient demographics, clinicopathological features, and short- and long-term outcomes in this study.
METHODS: From November 2005 to May 2016, 315 patients with transverse colon cancer underwent laparoscopic resection. TRI was performed in 62 patients and FEEA in 253 patients. Patients with another concomitant cancer, who received neoadjuvant chemotherapy, and/or who underwent another operation at the same time were excluded.
RESULTS: The patients\' backgrounds were comparable in each group. Transverse colectomy was selected more frequently in TRI and right hemicolectomy in FEEA. The operation time was shorter in TRI. The rate of anastomotic leakage was comparable (1.6% in TRI vs. 0.8% in FEEA). Stricture was more common in TRI (8.1% vs. 0%) and bleeding was more common in FEEA (1.6% vs. 10.6%). The rate of long-term complications was comparable in each group. Overall survival of stage 0-III patients was comparable in each group (94.7% in TRI vs. 93.7% in FEEA). 5-year disease-free survival of stage 0-III, stage II, and stage III patients was also comparable in each group (94.8% vs. 93.0%, 100% vs. 92.1%, and 80.3% vs. 79.2% in TRI and FEEA, respectively).
CONCLUSIONS: The short- and long-term outcome rates were acceptable in both groups. Specific attempts to prevent complications are required for each anastomotic procedure.