摘要
目的探讨腹腔镜直肠癌根治术后早期还纳预防性回肠造口(2周内)的可行性及安全性。方法回顾性分析笔者所在医院2017年1月-2019年12月间接受腹腔镜直肠癌根治术同时行预防性末段回肠造口,并最终还纳造口的32例患者资料,按手术还纳造口时间分A、B两组,A组17例于术后3~6个月内还纳造口,B组15例于术后12~14天还纳造口,比较两组造口还纳术后近期并发症及肛门功能。结果两组手术时间相似,无统计学差异,B组造口还纳术后并发症发生率与A组相比无显著差异,而在肛门功能恢复方面优于A组。结论早期还纳预防性回肠造口并未增加术后近期并发症,同时有利于肛门功能的恢复,并可提高病人生活质量及减少费用。
Objective To investigate the feasibility and safety of closure of temporary loop ileostomies(within 2 weeks)after laparoscopic radical resection of rectal cancer.Methods The data of 32 patients who underwent laparoscopic radical resection of rectal cancer and prophylactic end ileostomy from January 2017 to December 2019 were analyzed retrospectively.According to the time of operation,the patients were divided into two groups:in group A 17 patients received ileostomies between 3-6 months after operation,and in group B 15 patients received ileostomies 12-14 days after operation.The recent complications and anal function of the two groups were compared.Results The operation time of the two groups was similar,without statistical difference.There was no significant difference in the incidence of postoperative complications between group B and group A,but the recovery of anal function was better in group B than in group A.Conclusion Early closure of temporary loop ileostomies does not increase the recent postoperative complications,at the same time,it is conducive to the recovery of anal function,and can improve the quality of life of patients and reduce costs.
作者
钱峻
杨豪俊
焦宇文
王光尧
龚宇
QIAN Jun;YANG Haojun;JIAO Yuwen;Wang Guangyao;Gong Yu(Department of Gastrointestinal Disease Center,the Changzhou NO.2 Peoples'Hospital Affiliated to Nanjing Medical University,Changzhou,Jiangsu 213000,China)
出处
《手术电子杂志》
2022年第2期26-29,共4页
Electronic Journal of Medical Operations
基金
常州市科技计划资助(CJ20200097)。
