腹腔镜辅助下结直肠外翻拖出式手术治疗结直肠癌的效果及对应激反应、并发症的影响  

Effect of laparoscopic assisted colorectal eversion pull-out operation in the treatment of colorectal cancer and its influences on stress response and complications

作　　者：简国文 马长峰 JIAN Guowen;MA Changfeng(the People's Hospital of Yanliang District,Xi'an 710089,China)

机构地区：[1]西安市阎良区人民医院,陕西西安710089

出　　处：《临床医学研究与实践》2024年第35期78-81,共4页Clinical Research and Practice

摘　　要：目的探讨腹腔镜辅助下结直肠外翻拖出式手术治疗结直肠癌的效果及对应激反应、并发症的影响。方法选取2019年2月至2021年3月收治的80例结直肠癌患者为研究对象,以随机数字表法将其分为对照组与观察组,各40例。对照组采用传统开腹手术,观察组采用腹腔镜辅助下结直肠外翻拖出式手术。比较两组的手术相关指标、复发情况、应激反应指标及并发症发生情况。结果观察组的肠道恢复时间、手术时间及住院时间短于对照组,术中出血量少于对照组,差异具有统计学意义(P<0.05);观察组的复发率为7.50%,低于对照组的27.50%,差异具有统计学意义(P<0.05)。术后,两组的去甲肾上腺素(NE)、皮质醇(Cor)及肾上腺素(E)水平高于术前,但观察组低于对照组,差异具有统计学意义(P<0.05)。观察组的并发症总发生率为5.00%,低于对照组的22.50%,差异具有统计学意义(P<0.05)。结论腹腔镜辅助下结直肠外翻拖出式手术治疗结直肠癌的效果较好,能够有效减轻应激反应,减少术后并发症,促进患者术后更快恢复。Objective To investigate the effect of laparoscopic assisted colorectal eversion pull-out operation in the treatment of colorectal cancer and its influences on stress response and complications.Methods A total of 80 patients with colorectal cancer admitted from February 2019 to March 2021 were selected as the research objects and divided into control group and observation group by random number table method,with 40 cases in each group.The control group was treated with traditional open operation,and the observation group was treated with laparoscopic assisted colorectal eversion pull-out operation.The operation related indexes,recurrence,stress response indexes and complications were compared between the two groups.Results The intestinal recovery time,operation time and hospitalization time in the observation group were shorter than those in the control group,and the intraoperative blood loss was less than that in the control group,and the differences were statistically significant(P<0.05);the recurrence rate in the observation group was 7.50%,which was lower than 27.50%in the control group,and the difference was statistically significant(P<0.05).After operation,the levels of norepinephrine(NE),cortisol(Cor)and epinephrine(E)in the two groups were higher than those before operation,but those in the observation group were lower than the control group,and the differences were statistically significant(P<0.05).The total incidence of complications in the observation group was 5.00%,which was lower than 22.50%in the control group,and the difference was statistically significant(P<0.05).Conclusion Laparoscopic assisted colorectal eversion pull-out operation is effective in the treatment of colorectal cancer,which can effectively reduce stress response,decrease postoperative complications,and promote faster recovery of patients after operation.

关 键 词：腹腔镜 结直肠外翻拖出式手术 结直肠癌 应激反应 并发症 

分 类 号：R735.3[医药卫生—肿瘤]