摘要
目的比较分析回结肠端侧吻合与反式侧侧吻合在腹腔镜辅助右半结肠癌根治术中的并发症发生情况。方法选择郑州大学附属肿瘤医院普外科在2018年3月-2019年10月同一医疗组收治的104例右半结肠癌患者作为研究对象,采用抽签法将所有患者随机分为观察组和对照组,每组各52例,观察组采用回结肠端侧吻合,对照组采用回结肠反式侧侧吻合,统计两组患者手术时间、吻合口瘘、肠梗阻及吻合口狭窄例数、术后首次排气时间、排便时间等,比较分析两种不同吻合方式术后相关并发症发生情况。应用统计软件SPSS22.0进行统计学分析,计数资料以例(%)表示,计量资料以均数±标准差(Mean±SD)表示,两组比较采用独立样本t检验,计数资料比较采用χ^2检验。结果对两组患者手术治疗后的情况进行比较,观察组与对照组患者在手术时间、首次排气时间、首次排便时间和术中出血量方面,差异无统计学意义(P>0.05)。手术以后观察组患者吻合口瘘、吻合口狭窄、吻合口出血、肠梗阻等并发症的总发生率为3.84%(2/52),对照组的并发症发生率为15.38%(8/52),两组在术后总并发症方面有统计学意义(χ^2=3.983,P=0.046)。结论在腹腔镜辅助右半结肠癌根治术中,选择采用回结肠端侧吻合为主的吻合方式术后并发症发生率较低,为使患者能获得更好的治疗效果,可优先考虑此术式。
Objective To compare and analyze the complications of end-to-side ileocolon anastomosis and trans-side-to-side anastomosis in laparoscopic assisted radical resection of right colon cancer.Methods A total of 104 patients with right colon cancer who were treated in the same medical group from March 2018 to October 2019 in Department of General Surgery,the Affiliated Cancer Hospital of Zhengzhou University were selected as the research subjects.All patients were randomly divided into observation group and control group,each with 52 cases.The end-to-side ileocolon anastomosis was used in the observation group and trans-side ileocolon anastomosis in the control group.The operation time,anastomotic fistula,intestinal obstruction and anastomotic stenosis cases,the first time of postoperative exhaustion,and the time of defecation,etc.were counted in two groups of patients,and the occurrence of postoperative complications related to two different anastomosis methods were compared and analyzed.The software of SPSS22.0 was used to conduct statistical analysis,the counting data was expressed by n(%)and the measurement data was expressed as mean±standard deviation.The comparison of the two groups was by independent sample t test,the comparison of count data was byχ^2 test.Results After the operation of the two groups of patients,there was no significant difference in operation time,first exhaust time,first defecation time and intraoperative blood loss between the observation group and the control group(P>0.05).The total incidence of complications such as anastomotic fistula,anastomotic stenosis,anastomotic bleeding,and intestinal obstruction in the observation group after surgery was 3.84%(2/52),and the total incidence of complications in the control group was 15.38%(8/52).The two groups had statistical significance in total postoperative complications(χ^2=3.983,P=0.046).Conclusion In laparoscopic-assisted radical colonectomy for right colon cancer,the choice of anastomosis based on ileocolonic anastomosis can reduce the i
作者
贾王强
倪红谚
袁龙
Jia Wangqiang;Ni Hongyan;Yuan Long(Department of General Surgery,the Affiliated Cancer Hospital of Zhengzhou University,Zhengzhou 450008,China)
出处
《国际外科学杂志》
2020年第4期251-255,F0004,共6页
International Journal of Surgery
基金
国家自然科学基金(81502468)
河南省科技攻关计划省部级联合建设项目(SB201901114)
河南省科技计划项目(162102310046,182102310387)。
关键词
结肠肿瘤
吻合口瘘
腹腔镜
回结肠吻合
Colonic neoplasms
Anastomotic leak
Laparoscopes
Ileocolonanastomosis
