Is laparoscopic colorectal surgery less invasive than classical open surgery? Quantitation of physical activity using an accelerometer to assess postoperative convalescence
Is laparoscopic colorectal surgery less invasive than classical open surgery? Quantitation of physical activity using an accelerometer to assess postoperative convalescence
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DOI：
10.1007/s00464-002-8876-9
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发表时间：
2003-08-01
影响因子：
3.1
通讯作者：
Matsuda, H
中科院分区：
文献类型：
--
作者：
Inoue, Y;Kimura, T;Matsuda, H
背景：随着近年来技术的进步，腹腔镜手术在腹腔内的手术操作数量现在被认为与经典开腹手术相同。有人提出腹腔镜结直肠手术与淋巴结切除术相比开腹手术是否能改善恢复的问题。方法：我们比较了腹腔镜辅助结直肠切除术（LAC，n = 32）和经典开腹结直肠手术（OC，n = 30）患者术后 7 天的体力活动（用加速度计测量）。结果：以累积加速度表示的体力活动，LAC 组在术后每天显着高于 OC 组。恢复时间（定义为累计加速度恢复到术前水平 90% 的那一天），LAC 组（3.4 +/- 1.2 天）明显短于 OC 组（6.8 +/- 1.7 天）（p < 0.05）。结论：我们的结果表明，LAC 手术的恢复期明显短于 OC 组。与传统的开放手术相比，腹腔镜结直肠手术似乎可以在术后更早地恢复，并且根据恢复期评估，其侵入性较小。
Background: With the technical advances of recent years, the number of operative manipulations in the abdominal cavity by laparoscopic surgery is now considered to be the same as that using classical open surgery. The question has been raised whether laparoscopic colorectal surgery with lymphadenectomy improves the recovery compared to open surgery.Methods: We compared patients' physical activity for 7 days postoperatively as measured with an accelerometer between laparoscopic-assisted colorectal resection (LAC, n = 32) and classical open colorectal surgery (OC, n = 30).Results: Physical activity expressed as cumulative acceleration was significantly higher in the LAC than in the OC group on each postoperative day. The recovery time, defined as the day on which the cumulative acceleration recovered to 90% of the preoperative level, was significantly shorter (p < 0.05) in the LAC (3.4 +/- 1.2 days) than in the OC group (6.8 +/- 1.7 days).Conclusion: Our results showed that the duration of convalescence with LAC was significantly shorter than that with the OC procedure. Laparoscopic colorectal surgery appears to allow an earlier recovery after the operation than the classical open procedure, and it is less invasive as assessed by convalescence.