摘要
目的:探讨腹腔镜直肠癌根治术中保留左结肠动脉对患者胃肠功能恢复的影响。方法:选择2021年1月至2022年12月,本院行腹腔镜手术治疗的80例直肠癌患者,随机分为治疗组和对照组,每组各40例。治疗组行腹腔镜直肠癌根治术中保留左结肠动脉,对照组行腹腔镜直肠癌根治术中不保留左结肠动脉,比较2组治疗效果及术后并发症情况。结果:治疗组术中出血量少于对照组(P<0.05),首次排便时间、首次排气时间、腹痛腹胀持续时间和住院时间短于对照组(P<0.05)。术后2组胃泌素和胃动素水平均降低,但治疗组高于对照组(P<0.05),治疗组胃肠道功能评分高于对照组(P<0.05),膀胱功能评分低于对照组(P<0.05)。治疗组术后并发症发生率为5.0%,低于对照组的20.0%(P<0.05)。2组在肿瘤复发率、转移率以及中位无进展生存方面比较,差异无统计学意义(P>0.05)。结论:直肠癌患者接受腹腔镜直肠癌根治术中保留左结肠动脉有助于术后胃肠功能及膀胱功能恢复,可缩短术后康复时间,减少并发症,应用价值显著。
Objective To investigate the effect of left colic artery preservation on gastrointestinal func-tion recovery in patients undergoing laparoscopic radical resection of rectal cancer.Methods From Janu-ary 2021 to December 2022,total 80 patients with rectal cancer who underwent laparoscopic surgery in our hospital were randomly divided into the treatment group and the control group,with 40 cases in each group.The left colic artery was preserved in the treatment group and the left colic artery was not preserved in the control group.The therapeutic effect and postoperative complications of the two groups were com-pared.Results The amount of blood loss during operation in the treatment group was less than that in the control group(P<0.05).The first defecation time,the first exhaust time,the duration of abdominal pain and distension and the length of hospital stay were shorter than those in the control group(P<0.05).After operation,the levels of gastrin and motilin in both groups were decreased,but the levels in the treatment group were higher than those in the control group(P<0.05).The gastrointestinal function score in the treatment group was higher than that in the control group(P<0.05),and the bladder func-tion score in the treatment group was lower than that in the control group(P<0.05).The incidence of postoperative complications was 5.0%in the treatment group,which was lower than 20.0%in the control group(P<0.05).There were no significant differences in tumor recurrence rate,metastasis rate and me-dian progression-free survival between the two groups(P>0.05).Conclusion Left colic artery preser-vation in patients undergoing laparoscopic radical resection of rectal cancer can help to restore gastrointesti-nal function and bladder function,shorten postoperative rehabilitation time and reduce complications,which has significant application value.
作者
刘跃
孙锦卫
LIU Yue;SUN Jin-wei(Department of General Surgery,Yancheng Third People's Hospital of Jiangsu Province,Yancheng,Jiangsu 224000)
出处
《中国肛肠病杂志》
2023年第12期4-6,共3页
Chinese Journal of Coloproctology
关键词
直肠癌
腹腔镜直肠癌根治术
左结肠动脉
胃肠功能
并发症
Rectal cancer
Laparoscopic radical resection of rectal cancer
Left colic artery
Gastrointestinal function
Complications