腹腔镜Miles手术与腹腔镜切除经肛门吻合术治疗超低位直肠癌的效果  

Efficacy of Laparoscopic Miles Surgery and Laparoscopic Resection with Transanal Anastomosis in the Treatment of Ultra-low Rectal Cancer

作　　者：裴成明 汪浩洋 王志亮 王彦生 马燕娇 姚海英 PEI Chengming;WANG Haoyang;WANG Zhiliang;WANG Yansheng;MA Yanjiao;YAO Haiying(The Fourth Affiliated Hospital of Gansu University of Traditional Chinese Medicine,Lanzhou 730000,China;不详)

机构地区：[1]甘肃中医药大学第四附属医院(甘肃宝石花医院),甘肃兰州730000

出　　处：《中外医学研究》2024年第6期22-25,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

基　　金：甘肃省卫生健康行业科研计划项目(GSWSKY2022-62)。

摘　　要：目的:比较腹腔镜Miles手术与腹腔镜切除经肛门吻合术治疗超低位直肠癌的效果。方法:回顾性选取2018年6月—2021年12月甘肃中医药大学第四附属医院收治的80例超低位直肠癌患者。根据手术方式的不同将其分为对照组(40例)和观察组(40例)。对照组给予腹腔镜Miles手术,观察组给予腹腔镜切除经肛门吻合术。比较两组胃肠道功能恢复时间及止痛时间,围手术期指标,并发症,恢复情况,排便满意度。结果:观察组胃肠道功能恢复时间、止痛时间均明显短于对照组,差异有统计学意义(P<0.05)。观察组手术时间短于对照组,术中出血量及术后引流量均明显少于对照组,差异有统计学意义(P<0.05)。两组术后并发症发生率比较,差异无统计学意义(P>0.05)。观察组术后排气时间及住院时间均明显短于对照组,差异有统计学意义(P<0.05)。观察组排便满意度优良率显著优于对照组,差异有统计学意义(P<0.05)。结论:腹腔镜切除经肛门吻合术手术创伤较小,患者恢复较快,没有严重的并发症,术后排便功能也明显较优。Objective:To compare the efficacy of laparoscopic Miles surgery and laparoscopic resection with transanal anastomosis in the treatment of ultra-low rectal cancer.Method:Eighty patients with ultra-low rectal cancer admitted to the Fourth Affiliated Hospital of Gansu University of Traditional Chinese Medicine from June 2018 to December 2021 were retrospectively selected.The patients were divided into control group(40 cases)and observation group(40 cases)according to the different operation methods.The control group was given laparoscopic Miles surgery,and the observation group was given laparoscopic resection transanal anastomosis.Gastrointestinal function recovery time,analgesic time,perioperative indexes,complications,recovery condition and defecation satisfaction were compared between the two groups.Result:The recovery time of gastrointestinal function and analgesic time in the observation group were significantly shorter than those in the control group,and the differences were statistically significant(P<0.05).The operation time of the observation group was shorter than that of the control group,and the intraoperative blood loss volume and postoperative drainage volume were significantly less than those of the control group,and the differences were statistically significant(P<0.05).There was no significant difference in the incidence of postoperative complications between the two groups(P>0.05).The postoperative exhaust time and hospital stay in the observation group were significantly shorter than those in the control group,and the differences were statistically significant(P<0.05).The satisfaction rate of defecation in the observation group was significantly better than that in the control group,and the difference was statistically significant(P<0.05).Conclusion:Laparoscopic resection with transanal anastomosis has less trauma,faster recovery,no serious complications,and significantly better postoperative defecation function.

关 键 词：超低位直肠癌 腹腔镜Miles手术 经肛门吻合术 

分 类 号：R735.37[医药卫生—肿瘤]