The application of suspended gasless laparoscopy in colorectal cancer surgery
ZHANG Shu-qi
WU Ji-xiang
HE Jian-ye
ZHAO Liang-yu
Abstract：Objective To observe the outcome of suspended gasless laparoscopic with gas laparoscopic in colorectal carcinoma patients. Methods Totally 56 patients from 2006 June to 2009 July who underwent gasless laparoscopic or laparoscopic colorectal tumorectomy were enrolled. 30 patients underwent suspended gasless lapam-scopic and 26 patients underwent gas laparoscopic tumorectomy. Operating time, bleeding volume, lymph node clearance number and the time of passage gas by anus were recorded and compared separately. Results The oper-ating time of gasless laparoscopic group was 180-310 minutes[mean(234.29±10.89) minutes] and The operating time of gaslaparoscopic group was 205-480 min [mean (266.36±13.53) min] (P=0.1). The number of lymph node clearance :gasless laparescopic group: 10-15, mean value: 12.64±0.48; gas laparoscopic group: 9-17, mean value :13.00±0.47. The time of passage gas by anus: gasless laparoscopic group:26-43 h,mean value: (34.50±5.54) h; gas laparoscopic group: 18-48 h, mean value: (30.73±7.11) h. The postoperative pain degree: gasless laparoscopic group:2-5, mean value:3.21±0.21; gas laparoscopic group:2-5, mean value:3.14±0.12. In the gas laparoscopic group, one case had urethra injury and two cases were converted to open operations. In the gasless laparoscopic group, one case had rectal-vagina fistula. During postoperative period of rectectomy, each group had one case that had anastomotic stoma fistula. There was no statistic significance between these two groups. Conclu-sions Abdominal wall lifting laparoscopy is a safe method of operation. The operation time, bleeding volume and lymph node clearance number showed no significant difference between these two methods. Suspended gasless lapa-roscopic surgery is a way of laparoscopic operation without CO_2 and it may become a promising option for the patients with cardiacrespiratory dysfunction or old age.
Keywords：Colorectal surgeryLaparoscopyAbdominal wall lifting devices
Publication Date：2010-01-01
Online Publishing Date：2026-09-14(First online date of this platform, not the publication date of the document)
Pages：3( 145-147 )