腹腔镜联合完全内括约肌切除术治疗超低位直肠癌的效果分析  

Effect of Laparoscopy Combined with Complete Internal Sphinctectomy in the Treatment of Ultra-low Rectal Cancer

作　　者：张占营 ZHANG Zhan-ying(Department of Surgery,Kaifeng City Xiangfu District Second People's Hospital,Kaifeng 475121,Henan Province,China)

机构地区：[1]开封市祥符区第二人民医院外科,河南开封475121

出　　处：《罕少疾病杂志》2024年第6期89-90,106,共3页Journal of Rare and Uncommon Diseases

摘　　要：目的 针对开腹完全ISR、腹腔镜完全ISR应用于超低位直肠癌的效果及各项指标变化情况进行统一分析。方法 回顾性收集直肠癌患者48例,纳入研究的时间段:2019年5月至2021年5月,纳入研究的地点:本院,将所纳入的研究对象进行开腹完全ISR组、腹腔镜完全ISR组的划分(分组标准:手术方法不同),均收集24例。将腹腔镜完全ISR组与开腹完全ISR组患者的各项指标及数据变化情况进行统一的对比、分析。结果 两组一般资料、手术时间、死亡率、局部复发率以及远端转移率比较,统计学处理后P>0.05;相较于开腹完全ISR组的各项指标(术后排气时间、住院时间),腹腔镜完全ISR组均更短,统计学处理后P<0.05,相较于开腹完全ISR组(术中出血量),腹腔镜完全ISR组明显更少,统计学处理后P<0.05。相较于开腹完全ISR组(并发症发生率),腹腔镜完全ISR组明显更低,统计学处理后P<0.05。相较于开腹完全ISR组(肛门功能良好率),腹腔镜完全ISR组明显更高,统计学处理后P<0.05。结论 临床上在不同术式的选择方面,超低位直肠癌患者应用腹腔镜完全ISR的效果更为显著,在多方面(并发症风险低、出血量少等)均更具优势。Objective To analyze the effect and changes of indexes of open total ISR and laparoscopic total ISR in ultra-low rectal cancer.Methods48 patients with rectal cancer were collected retrospectively.The time period of inclusion was from May 2019 to May 2021.The place of inclusion was our hospital.The subjects were divided into the open complete ISR group and the laparoscopic complete ISR group(grouping criteria:different surgical methods),and 24 cases were collected.The indexes and data changes of patients of the laparoscopic complete ISR group and the open complete ISR group were compared and analyzed.ResultsThe general data,operation time,mortality,local recurrence rate and distant metastasis rate of the two groups were compared,P>0.05 after statistical treatment;Compared with the control group,the indexes(postoperative exhaust time and hospitalization time)of the study group were shorter,P<0.05 after statistical treatment.Compared with the control group(intraoperative blood loss),the study group was significantly less,P<0.05 after statistical treatment.Compared with the control group,the incidence of complications of the study group was significantly lower,P<0.05 after statistical treatment.Compared with the control group(anal function good rate),the study group was significantly higher,P<0.05 after statistical treatment.ConclusionIn clinical practice,laparoscopic total ISR is more effective for patients with ultra-low rectal cancer,and it has advantages in many aspects(low risk of complications,less bleeding,etc.).

关 键 词：超低位直肠癌 腹腔镜 完全内括约肌切除术 并发症 复发 转移 

分 类 号：R574.63[医药卫生—消化系统]