腹腔镜直肠癌根治术患者正中切口与传统右下腹新切口行预防性回肠造口的疗效及安全性比较  

Comparison of Efficacy and Safety of Prophylactic Ileostomy Through Median Incision and Traditional Right Lower Abdominal New Incision in Patients Undergoing Laparoscopic Radical Resection of Rectal Cancer

作　　者：常瑶瑶 CHANG Yao-yao(Department of Surgery,First Affiliated Hospital of Henan University of Science and Technology,Luoyang,Henan 471000)

机构地区：[1]河南科技大学第一附属医院手术部,河南洛阳471000

出　　处：《中国肛肠病杂志》2025年第1期23-25,共3页Chinese Journal of Coloproctology

摘　　要：目的:探讨腹腔镜直肠癌根治术患者正中切口与传统右下腹新切口行预防性回肠造口的疗效及安全性比较。方法:选取2020年8月至2023年8月我院收治的82例腹腔镜直肠癌根治术患者的资料,根据手术方式将其随机分为传统右下腹新切口组和正中切口组,每组41例。传统右下腹新切口组行腹腔镜直肠癌根治术+传统右下腹新切口术,正中切口组行腹腔镜直肠癌根治术+正中切口术,比较2组患者Ⅰ期手术时间、住院时间,Ⅱ期手术时间、术中出血量以及术后并发症发生情况。结果:2组患者Ⅰ期手术时间、住院时间比较差异均无统计学意义(P>0.05)。正中切口组患者Ⅱ期手术时间短于传统右下腹新切口组(P<0.05),出血量少于传统右下腹新切口组(P<0.05)。2组患者术后并发症发生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术后进行预防性回肠造口患者正中切口效果显著,安全性较高,且正中切口可以更好的缩短Ⅱ期手术时间。Objective To compare the efficacy and safety of prophylactic ileostomy through median incision and traditional right lower abdominal new incision in patients undergoing laparoscopic radical resection of rectal cancer.Methods Total 82 patients who underwent laparoscopic radical resection of rectal cancer in our hospital from August 2020 to August 2023 were randomly divided into the traditional right lower abdominal new incision group and the median incision group according to the surgical method,with 41 cases in each group.The traditional right lower abdominal new incision group was treated with laparoscopic radical resection of rectal cancer with traditional right lower abdominal new incision,and the median incision group was treated with laparoscopic radical resection of rectal cancer with median incision.The operation time of stageⅠ,hospital stay,operation time of stageⅡ,intraoperative blood loss and postoperative complications were compared between the two groups.Results There was no significant difference in the operation time of stageⅠand hospital stay between the two groups(P>0.05).The operation time of stageⅡin the median incision group was shorter than that of the traditional right lower abdominal new incision group(P<0.05),and the blood loss was less than that of the traditional right lower abdominal new incision group(P<0.05).There was no significant difference in the incidence of postoperative complications between the two groups(P>0.05).Conclusion The prophylactic ileostomy through median incision in patients undergoing laparoscopic radical resection of rectal cancer is effective and safe,and the median incision can better shorten the operation time of stageⅡ.

关 键 词：直肠癌 根治术 腹腔镜 正中切口 传统右下腹新切口 

分 类 号：R735.37[医药卫生—肿瘤]