摘要
目的分析腹腔镜直肠癌前切术中保留左结肠动脉的临床价值。方法选取2015年6月至2019年4月深圳市宝安区中心医院收治的56例直肠癌患者,以数字随机表法将其分为观察组和对照组各28例,所有患者均行腹腔镜直肠癌前切术,观察组术中保留左结肠动脉(低位结扎),对照组术中不保留左结肠动脉(高位结扎),对两组手术效果进行评价。结果观察组手术时间与对照组相比,相对更长(P<0.05),观察组术中出血量、肿瘤根治性指标与对照组相比,差异不显著(P>0.05);观察组肠道功能恢复、肛门排气、住院时间均短于对照组(P<0.05);观察组并发症率为7.14%,相比对照组28.57%更低(P<0.05)。结论对行腹腔镜直肠癌前切术的患者而言,术中保留左结肠动脉(left colic artery,LCA)可减少术后吻合口瘘、尿潴留等并发症,促进肠道功能尽快恢复,还可彻底完成肿瘤根治,值得应用。
Objective To analyze the clinical value of preserving left colic artery during laparoscopic anterior resection for rectal cancer.Methods Fifty-six cases of patients with rectal cancer and who treated from June 2015 to April 2019 were selected,and the patients were divided into the observation group(n=28)and the control group(n=28)by the random table method.All patients underwent laparoscopic resection of rectal cancer.And the observation group underwent the left colonic artery(low ligation)during the operation,while the control group underwent the no reservation of left colonic artery(high ligation)during operation.Then,the operation effects of two groups were evaluated.Results The operation time in the observation group was longer than that inthe control group(P<0.05),There was no significant difference in the intraoperative bleeding volume and radical tumor index between the observation group and the control group(P>0.05);The recovery of intestinal function,anal exhaust and hospitalization time in the observation group were shorter than those in the control group(P<0.05);The complication rate in the observation group was 7.14%,which was lower than that in the control group of 28.57%(P<0.05).Conclusion For patients undergoing laparoscopic resection of rectal cancer,the intraoperative preservation of LCA can reduce postoperative complications such as the anastomotic leakage and urinary retention,promote intestinal function recovery as soon as possible,and complete radical resection of tumor.
作者
曾俊
李荣江
刘晓辉
ZENG Jun;LI Rong-jiang;LIU Xiao-hui(Department of General Surgery,Shenzhen Bao'an District Central Hospital(The Fifth Affiliated Hospital of Shenzhen University)Shenzhen,Guangdong,518100)
出处
《临床普外科电子杂志》
2019年第4期24-27,共4页
Journal of General Surgery for Clinicians(Electronic Version)
关键词
腹腔镜
直肠癌前切术
左结肠动脉
高位结扎
低位结扎
Laparoscopy
Anterior resection of rectal cancer
Left colonic artery
High ligation
Low ligation
