不同入路腹腔镜直肠癌根治术对直肠癌患者治疗效果的影响  

Influence of different approaches of laparoscopic radical resection of rectal cancer on the treatment effect of patients with rectal cancer

作　　者：黄克华 HUANG Ke-hua(Department of General Surgery,Liaoyang Central Hospital,Liaoning Province,Liaoyang 111000,China)

机构地区：[1]辽宁省辽阳市中心医院普外科,辽宁辽阳111000

出　　处：《中国当代医药》2021年第5期82-84,共3页China Modern Medicine

摘　　要：目的分析腹腔镜直肠癌根治术不同入路方式在直肠癌治疗中的应用效果。方法回顾性分析2017年4月~2019年10月于辽阳市中心医院接受治疗的120例直肠癌患者的临床资料,患者均行腹腔镜直肠癌根治术,依据手术入路方式的不同,将患者分为对照组(传统中间入路,60例)和观察组(头侧中间入路,60例)。比较两组患者的手术相关指标及术后并发症发生情况。结果两组患者的术中出血量比较,差异无统计学意义(P>0.05)。观察组患者的手术时间、裸化肠系膜下动脉(IMA)周围淋巴结扫除时间短于对照组,253组淋巴结扫除数目多于对照组,差异有统计学意义(P<0.05)。两组患者的并发症总发生率比较,差异无统计学意义(P>0.05)。结论腹腔镜下直肠癌根治术采用头侧中间入路疗效更佳,更利于缩短IMA周围淋巴结扫除时间,高效清除253组淋巴结,且术后并发症较少,安全性高。Objective To analyze the application effect of different approaches of laparoscopic radical resection of rectal cancer on therapeutic effect of patients with rectal cancer.Methods A retrospective analysis of the clinical data of 120 patients with rectal cancer who were treated in Liaoyang Central Hospital from April 2017 to October 2019 was conducted.All patients underwent laparoscopic radical resection of rectal cancer.According to the different surgical approaches,they were divided into control group(traditional medial approach,n=60)and observation group(cephalic medial approach,n=60).The surgical related indicators and postoperative complications were compared in the two groups.Results There was no significant difference in intraoperative blood loss between the two groups(P>0.05).The operation time and lymph node sweep time around the naked inferior mesenteric artery(IMA)of the observation group were shorter than those of the control group,the number of swept lymph nodes in 253 groups in the observation group was more than that of the control group,and the differences were statistically significant(P<0.05).There was no statistically significant difference in the total incidence of complications between the two groups(P>0.05).Conclusion Laparoscopic radical resection of rectal cancer using cephalic middle approach is more effective,and it is more conducive to shorten the time of lymph node sweeping around IMA,and efficiently remove lymph nodes in 253 groups,with fewer postoperative complications and higher safety.

关 键 词：直肠癌 腹腔镜根治术 中间入路 头侧中间入路 并发症 

分 类 号：R735.37[医药卫生—肿瘤]