腹腔镜右半结肠癌根治术对结肠癌患者胃肠功能的影响分析  

Clinical analysis of gastrointestinal function of patients after laparoscopic radical surgery for right colon cancer

作　　者：燕东[1] 杨熊飞[1] 张维胜[1] 杜斌斌[1] Yan Dong;Yang Xiongfei;Zhang Weisheng;Du Binbin(Department of Colorectal and Anal Surgery,Gansu Provincial People’s Hospital,Gansu 730000,China)

机构地区：[1]甘肃省人民医院结直肠肛门外科,兰州730000

出　　处：《中华普外科手术学杂志（电子版）》2020年第5期460-463,共4页Chinese Journal of Operative Procedures of General Surgery(Electronic Edition)

摘　　要：目的探讨腹腔镜右半结肠癌根治术对患者胃肠功能的影响效果。方法回顾性分析2017年1月至2018年12月收治的120例右半结肠癌患者临床资料,根据不同术式将其分为开腹组80例及腔镜组40例,采用SPSS22.0统计软件处理,手术相关指标、应激指标、胃肠激素、胃肠功能恢复效果等采用(±s)表示,组间比较独立t检验;并发症发生率等计数资料以χ2检验,P<0.05表示差异有统计学意义。结果两组淋巴结清扫个数差异无统计学意义(P>0.05);腔镜组手术时间长于开腹组、术中出血量小于开腹组,胃肠功能恢复效果优于开腹组(P<0.05);术前两组患者胃肠激素、应激指标差异无统计学意义,术后两组胃肠激素较术前降低,应激指标较术前升高(P<0.05),腔镜组胃肠激素高于开腹组,应激指标低于开腹组(P<0.05)。腔镜组并发症发生率5.0%,低于开腹组26.3%,(P<0.05)。结论结肠癌治疗中腹腔镜右半结肠癌根治术对患者胃肠功能的影响更小、应激反应更为轻微、并发症发生率更低,可作为优选治疗方案加以推广使用。Objective To analyze the impact of laparoscopic right colon cancer on the gastrointestinal function of patients with colon cancer.Methods The clinical data of 120 patients with colon cancer admitted to our hospital from January 2017 to December 2018 were analyzed retrospectively.According to surgical procedures,80 patients underwent laparotomy were divided into the open group and forty patients received laparoscopic surgery were divided into the laparoscopic group.Statistical analysis were performed by using SPSS22.0 software.Measurement data such as the surgical related indexes,stress indicators,gastrointestinal hormones,and gastrointestinal function recovery effects were expressed as(±s),and were examined by using independent t test.The incidence of complications was analyzed by usingχ2 test.A P value of<0.05 was considered as statistically significant difference.Results The number of harvested lymph nodes in the laparoscopic group was comparable to that in the open group,with no statistically significant difference(P>0.05).The operation time was longer than that in the open group,and the intraoperative blood loss was less than that in the open group,while the recovery of gastrointestinal function was better than that.in the open group,with statistically significant differences(P<0.05).There was no significant differences in terms of preoperative gastrointestinal hormones and stress indexes between the two groups.Postoperative gastrointestinal hormones were lower than that before surgery,and the stress index was higher than that before surgery,with statistically significant differences(P<0.05).The gastrointestinal hormones in the laparoscopic group were higher than those in the open group,and the stress index was lower than that in the open group respectively(P<0.05).The incidence of complications in the laparoscopic group was 5.0%,which was lower than 26.3%in the open group.,with statistically significant difference(P<0.05).Conclusion The laparoscopic treatment of right colon cancer has less impact on gastro

关 键 词：结肠肿瘤 腹腔镜 结肠切除术 胃肠激素类 胃肠功能 应激指标 

分 类 号：R735.35[医药卫生—肿瘤]