摘要
为探讨腹腔镜下直肠癌前切除术中处理肠系膜下动脉时保留左结肠动脉（LCA）的可行性与应用价值，将108例腹腔镜直肠癌前切除术患者分为保留LCA组69例及不保留LCA组39例，比较两组手术时间、术中出血量、肠系膜下动脉根部淋巴结清扫数目、末端回肠造口及吻合口愈合情况。结果显示，108例手术均获成功，两组在手术时间、术中出血量、肠系膜下动脉根部淋巴结清扫数目方面无显著性差异（P〉0．05），而在末端回肠造口、吻合口漏方面有显著性差异（P〈0．05）。术后随访半年，未见复发。结果表明，腹腔镜直肠癌前切除术中保留左结肠动脉安全可行，可以有效保障近端结肠血运，减少行末端回肠造口的机会，降低吻合口漏的发生率。
This study was to explore the feasibility and application value of preserving-left colic artery （LCA） when managing inferior mesenteric artery（IMA） during laparoscopic anterior resection for rectal carcinoma.The 108 patients to be subjected to laparoscopic anterior resection were divided into preserving LCA group（69 cases） and non-preserving LCA group（39 cases） ~then the time for operation,intraoperative bleeding volume, and the lymph node number removed around the root-part of IMA,the status on neosto- my of ileum-end and anastomosis stoma healing.As results,all of the patients were successfuly performed on;in the operative time, intraoperative bleeding volume, the lymph node number removed there was no significant difference between both groups（ P ~0.05） ,but in end-ileum neostomy and in anastomosis sto- ma leakage there was significant difference between both groups（ P ~0.05） ;the postoperative follow-up of 0.5 yr. did not any recurrence.Results show that preserving LCA is safe and feasible,can effectively ensure blood support of proximal-end colon,reduce the chance to neostomy of end-ileum,low the incidence of an- astomosis stoma leakage.
出处
《中国肛肠病杂志》
2015年第7期7-9,共3页
Chinese Journal of Coloproctology
关键词
直肠癌
腹腔镜
左结肠动脉
吻合口漏
Rectal carcinoma
Laparoscope
Left colic artery
Anastomosis stoma leakage
