腹腔镜下直肠外翻拖出式手术治疗直肠癌患者的效果  

Effects of laparoscopic rectal eversion pull-out surgery on patients with rectal cancer

作　　者：廉成明 LIAN Chengming(Department of General Surgery of Tiemei General Hospital of Liaoning Health Industry Group,Tieling 112700 Liaoning,China)

机构地区：[1]辽宁省健康产业集团铁煤总医院普外科,辽宁铁岭112700

出　　处：《中国民康医学》2023年第2期39-41,共3页Medical Journal of Chinese People’s Health

摘　　要：目的:观察腹腔镜下直肠外翻拖出式手术治疗直肠癌患者的效果。方法:选取2019年1月至2019年12月该院收治的120例直肠癌患者进行前瞻性研究,按照随机数字表法分为对照组和观察组各60例。对照组采用腹腔镜下直肠前切除术治疗,观察组采用腹腔镜下直肠外翻拖出式手术治疗,比较两组手术相关指标水平、术后肠道菌群水平及并发症发生率。结果:两组手术时间、术中出血量比较,差异均无统计学意义(P>0.05);观察组胃肠功能恢复时间、住院时间均短于对照组,术后2周日排便次数多于对照组,差异有统计学意义(P<0.05);术后2周,观察组大肠埃希菌水平低于对照组,乳酸杆菌、双歧杆菌、粪肠球菌水平均高于对照组,差异有统计学意义(P<0.05);观察组并发症发生率为1.67%,低于对照组的20.00%,差异有统计学意义(P<0.05)。结论:腹腔镜下直肠外翻拖出式手术治疗直肠癌患者,可缩短患者术后恢复时间,改善肠道菌群水平,降低并发症发生率,其效果优于腹腔镜下直肠前切除术治疗。Objective: To observe effects of laparoscopic rectal eversion pull-out surgery in the treatment of rectal cancer patients.Methods: A prospective study was conducted on 120 patients with rectal cancer admitted to the hospital from January 2019 to December 2019.They were divided into control group and observation group according to the random number table method, 60 cases in each. The control group was treated with laparoscopic anterior rectal resection, while the observation group was treated with laparoscopic rectal eversion pullout surgery. The levels of surgery-related indicators, the postoperative intestinal flora levels, and the incidence of complications were compared between the two groups. Results: There were no significant differences in the operation time and the intraoperative blood loss between the two groups(P>0.05). The recovery time of gastrointestinal function and the hospitalization time in the observation group were shorter than those in the control group, and the number of defecations 2 weeks after the surgery was more than that in the control group, and the differences were statistically significant(P<0.05). 2 weeks after the surgery, the level of Escherichia coli in the observation group was lower than that in the control group, and the levels of Lactobacillus, Bifidobacterium and Enterococcus faecalis were higher than those in the control group, and the differences were statistically significant(P<0.05). Further, the incidence of adverse reactions of the observation group was 1.67%, which was lower than 20.00% in the control group, and the difference was statistically significant(P<0.05). Conclusions: Laparoscopic rectal eversion pull-out surgery for the rectal cancer patients can shorten the postoperative recovery time, improve the levels of intestinal flora, and reduce the incidence of complications. Moreover, it is superior to laparoscopic anterior rectal resection.

关 键 词：直肠癌 腹腔镜 直肠外翻拖出式 直肠前切除术 肠道菌群 并发症 

分 类 号：R735.34[医药卫生—肿瘤]