腹腔镜治疗直肠癌术后局部复发的临床疗效评析  

Clinical Evaluation of Laparoscopic Treatment of Postoperative Local Recurrence of Rectal Cancer

作　　者：宋磊 SONG Lei(Department of General Surgery,Chaoyang Central Hospital,Liaoning Chaoyang 122000)

机构地区：[1]朝阳市中心医院普外科,辽宁朝阳122000

出　　处：《中国医疗器械信息》2023年第1期110-112,共3页China Medical Device Information

摘　　要：目的:探讨对直肠癌术后局部复发患者采用腹腔镜手术方法进行治疗后获得的临床效果。方法:将2017年6月~2020年5月本院收治的64例直肠癌术后局部复发患者按照数字奇偶法分组;腹腔镜组(32例):采用腹腔镜手术方法完成疾病治疗;开腹组(32例):采用开腹手术方法完成疾病治疗;对组间平均失血量、肛门排气时间、住院时间以及并发症(吻合口出血、肠梗阻、肺部感染、吻合口瘘、切口感染)情况展开对比。结果:腹腔镜组直肠癌术后局部复发患者平均失血量(207.16±44.21)mL少于开腹组平均失血量(416.95±70.66)m L(P<0.05);腹腔镜组直肠癌术后局部复发患者肛门排气时间(24.65±11.27)h、住院时间(8.53±2.17)d均短于开腹组的肛门排气时间(61.35±16.41)h、住院时间(13.61±3.71)d(P<0.05);腹腔镜组32例患者中,表现出吻合口出血患者0例;肠梗阻患者0例;肺部感染患者1例(3.13%);吻合口瘘患者0例;切口感染患者1例(3.13%);总计2例(6.25%):开腹组32例患者中,表现出吻合口出血患者2例(6.25%);肠梗阻患者3例(9.38%);肺部感染患者2例(6.25%);吻合口瘘患者2例(6.25%);切口感染患者3例(9.38%);总计12例(37.50%):腹腔镜组直肠癌术后局部复发患者总并发症发生率(6.25%)低于开腹组(37.50%),差异明显(P<0.05)。结论:腹腔镜手术方式有效运用,可使直肠癌术后局部复发患者平均失血量获得显著减少,将肛门排气时间、住院时间有效缩短,使吻合口出血、肠梗阻、肺部感染、吻合口瘘、切口感染系列并发症显著减少,最终实现直肠癌术后局部复发患者有效预后。Objective: To investigate the clinical effect of laparoscopic surgery for patients with postoperative local recurrence of rectal cancer. Methods: 64 patients with postoperative local recurrence of rectal cancer admitted to our hospital from June 2017 to May 2020 were divided into two groups by digital odd-even method. In the laparoscopic group(32 cases), the disease was treated by laparoscopic surgery. In the open group(32 cases), the disease was treated by open surgery. The mean blood loss, anal exhaust time, length of hospital stay, and complications(anastomotic bleeding, intestinal obstruction, pulmonary infection, anastomotic fistula, incision infection) were compared between groups. Results: The average blood loss of local recurrence patients in laparoscopic group(207.16±44.21) m L was significantly lower than that in open group(416.95±70.66) mL(P<0.05). The anal exhaust time(24.65±11.27) h and hospital stay(8.53±2.17) d in laparoscopic group were significantly shorter than those in open group(61.35±16.41) h and 13.61±3.71) d(P<0.05). Among 32 patients in the laparoscopic group, 0 cases showed anastomotic bleeding. There were 0 cases of intestinal obstruction 1 patient(3.13%) had pulmonary infection. Anastomotic fistula was found in 0 cases 1 patient(3.13%) had incisions infection;In total, 2 patients(6.25%): Among 32 patients in the open group, 2 patients(6.25%) showed anastomotic bleeding;There were 3 cases of intestinal obstruction(9.38%);Pulmonary infection in 2 patients(6.25%);Anastomotic fistula was found in 2 patients(6.25%). 3 patients(9.38%) had incisions infection;There were 12 cases in total(37.50%): The total complication rate of rectal cancer patients with local recurrence in laparoscopic group(6.25%) was significantly lower than that in open group(37.50%)(P<0.05). Conclusions: Laparoscopic surgery way effective use, can make the patients with rectal cancer local recurrence after average significantly reduced blood loss, the anus exhaust time, and shorten the hospitalization time, make the

关 键 词：腹腔镜 直肠癌 术后局部复发 应用效果 

分 类 号：R6[医药卫生—外科学]