腹腔镜辅助下直肠外翻拖出式手术治疗直肠癌的临床效果分析  

Analysis of the clinical effect of rectal eversion and pull-through surgery assisted by laparoscope in the treatment of rectal cancer

作　　者：于万军 于秀丽 YU Wan-jun;YU Xiu-li(Jinzhou 968 Hospital,Jinzhou 121001,China)

机构地区：[1]锦州市968医院,121001

出　　处：《中国实用医药》2021年第29期42-44,共3页China Practical Medicine

摘　　要：目的探析腹腔镜辅助下直肠外翻拖出式手术治疗直肠癌的临床效果及作用机制。方法60例直肠癌患者,随机分为观察组与参照组,各30例。参照组展开腹腔镜辅助下直肠前切除手术治疗,观察组展开腹腔镜辅助下直肠外翻拖出式手术治疗。比较两组手术时间、术中出血量、住院时间、并发症发生率。结果观察组手术时间(141.63±11.37)min、住院时间(8.12±0.29)d短于参照组的(154.66±13.48)min、(13.75±1.04)d,术中出血量(108.34±13.42)ml少于参照组的(186.19±16.28)ml,差异有统计学意义(P<0.05)。观察组的并发症发生率为3.33%,低于参照组的26.67%,差异有统计学意义(P<0.05)。结论腹腔镜辅助下直肠外翻拖出式手术的应用,不仅可以有效降低直肠癌患者的手术时间和住院时间,同时还可以改善患者的吻合口瘘及出血等并发症,效果明显。Objective To discuss and analyze the clinical effect and mechanism of rectal eversion and pull-through surgery assisted by laparoscope in the treatment of rectal cancer.Methods A total of 60 patients with rectal cancer were divided into reference group and observation group according to random numerical table,with 30 cases in each group.The reference group was treated with laparoscopic anterior rectal resection,and the observation group was treated with laparoscopic rectal eversion and pull-through surgery.Both groups were compared in terms of operation time,intraoperative blood loss,hospitalization time and complications.Results In the observation group,the operation time was(141.63±11.37)min and hospitalization time was(8.12±0.29)d,which were shorter than(154.66±13.48)min and(13.75±1.04)d in the reference group;the intraoperative blood loss was(108.34±13.42)ml,which was less than(186.19±16.28)ml in the reference group;all the differences were statistically significant(P<0.05).The complication rate in the observation group was 3.33%,which was lower than 26.67%in the reference group,and the difference was statistically significant(P<0.05).Conclusion The application of laparoscopic rectal eversion and pull-through surgery can not only effectively reduce the operation time and hospitalization time of patients with rectal cancer,but also improve the complications such as anastomotic leakage and bleeding,and the effect is obvious.

关 键 词：腹腔镜辅助下直肠外翻拖出式手术 直肠癌 并发症 

分 类 号：R735.37[医药卫生—肿瘤]