腹腔镜直肠癌根治术中保留左结肠动脉的临床效果研究  

Clinical Effects study of Left Colic Artery Retaining in Laparoscopic Radical Resection for Rectal Cancer

作　　者：林毅[1] 王振飞[1] 杨韩 LIN Yi;WANG Zhenfei;YANG Han(DepartmentⅢof Anorectal,Fujian University of Traditional Chinese Medicine Affiliated to People’s Hospital,Fuzhou,Fujian 35004,China)

机构地区：[1]福建中医药大学附属人民医院肛肠三科,福建福州350004

出　　处：《中国医药指南》2025年第5期118-120,共3页Guide of China Medicine

摘　　要：目的探究腹腔镜直肠癌根治术中保留左结肠动脉(LCA)的临床效果。方法选取2019年9月至2022年2月在福建中医药大学附属人民医院治疗的68例直肠癌患者,将术中保留LCA的患者定为A组(33例),术中不保留LCA的患者定位B组(35例),比较两组手术相关指标、并发症发生情况、肿瘤局部复发及远处转移情况。结果A组的手术时间长于B组,术中出血量多于B组(P<0.05)。两组术后并发症总发生率、局部复发率、远处转移率比较,差异无统计学意义(P>0.05)。结论腹腔镜直肠癌根治术中保留LCA具有一定临床效果。Objective To study the clinical effects of left colic artery(LCA)retaining in laparoscopic radical resection(LRR)for rectal cancer.Methods A total of 68 patients with rectal cancer who were treated at the People’s Hospital Affiliated to Fujian University of Traditional Chinese Medicine from September 2019 to February 2022 were selected.Patients who preserved the left colic artery(LCA)during surgery were assigned to Group A(33 cases),and those who did not preserve the LCA were assigned to Group B(35 cases).The two groups were compared in terms of surgical-related indicators,incidence of complications,local recurrence of tumors,and distant metastasis.Results The surgical time in Group A was longer than in Group B,and the intraoperative blood loss was greater in Group A than in Group B(P<0.05).There was no statistically significant difference between the two groups in the total incidence of postoperative complications,local recurrence rate,and distant metastasis rate(P>0.05).Conclusions LCA retaining during laparoscopic radical resection for rectal cancer demonstrates certain clinical efficacy.

关 键 词：直肠癌 腹腔镜 左结肠动脉 临床效果 

分 类 号：R735.37[医药卫生—肿瘤]