倒刺线在腹腔镜下右半结肠癌根治术中的应用效果  

Application effect of barb line in laparoscopic radical resection of right colon cancer

作　　者：杨永威 马思岳 鲁朝敏 YANG Yongwei;MA Siyue;LU Chaomin(Department of General Surgery,the Affiliated Cancer Hospital of Zhengzhou University/Henan Cancer Hospital,Zhengzhou 450003,Henan Province,China)

机构地区：[1]郑州大学附属肿瘤医院/河南省肿瘤医院普外科,河南郑州450003

出　　处：《新乡医学院学报》2023年第11期1074-1077,共4页Journal of Xinxiang Medical University

基　　金：河南省卫生健康委员会省部共建项目(编号:SB201901107)。

摘　　要：目的探讨行腹腔镜下右半结肠癌根治术患者消化道重建时使用倒刺线关闭共同开口及加固吻合口的有效性和安全性。方法选择2021年1月至2022年12月于河南省肿瘤医院行右半结肠癌根治术患者82例为研究对象。根据术中消化道重建方法将患者分为对照组(n=40)和观察组(n=42)。对照组患者术中使用直线切割闭合器关闭共同开口,吻合口不加固;观察组患者术中使用倒刺线关闭共同开口及加固吻合口。比较2组患者消化道重建时间、使用钉仓的数量、术中出血量等手术相关指标,比较2组患者术后排气时间、术后住院时间和手术前后24 h血红蛋白(Hb)差值;记录并比较2组患者术后并发症发生率。结果观察组患者消化道重建时间长于对照组,使用钉仓数少于对照组(P<0.05);2组患者术中出血量比较差异无统计学意义(P>0.05)。2组患者术后排气时间、术后住院时间比较差异无统计学意义(P>0.05)。观察组患者手术前后24 h Hb差值小于对照组(P<0.05)。对照组和观察组患者术后并发症发生率分别为7.1%(3/42)和12.5%(5/40),2组患者并发症发生率比较差异无统计学意义(χ^(2)=0.799,P>0.05)。结论使用倒刺线关闭共同开口及加固吻合口是一种安全、可行且止血效果较好的消化道重建方法。Objective To evaluate the effectiveness and safety of barb line in closing the common opening and strengthening the anastomosis in the digestive tract reconstruction of patients underwent radical resection of right colon cancer.Methods A total of 82 patients who underwent radical resection of right colon cancer in the Henan Cancer Hospital from January 2021 to December 2022 were selected as the study objects.The patients were divided into the control group(n=40)and the observation group(n=42)according to the method of digestive tract reconstruction.In the control group,the common opening of patients was closed by linear cutting and closing device,and the anastomosis was not strengthened;in the observation group,the barb line was used to close the common opening and strengthen the anastomosis.The surgical related indicators such as the time of digestive tract reconstruction,the number of nail chambers and intraoperative blood loss of patients were compared between the two groups;the postoperative exhaust time,postoperative hospital stay and the difference of 24 h hemoglobin(Hb)before and after operation of patients were compared between the two groups;the incidence of postoperative complications of patients was recorded and compared between the two groups.Results The time of digestive tract reconstruction of patients in the observation group was longer than that in the control group,the number of nail chambers was less than that in the control group(P<0.05);there was no significant difference in intraoperative blood loss of patients between the two groups(P>0.05).There was no significant difference in postoperative exhaust time and postoperative hospital stay of patients between the two groups(P>0.05).The difference of 24 h Hb before and after operation of patients in the observation group was less than that in the control group(P<0.05).The incidence of postoperative complications of patients in the control group and the observation group was 7.1%(3/42)anD12.5%(5/40),respectively;there was no significant differenc

关 键 词：倒刺线 消化道重建 右半结肠癌根治术 全腹腔镜吻合 吻合口出血 

分 类 号：R735.7[医药卫生—肿瘤]