摘要
目的:分析保留左结肠动脉(LCA)全直肠系膜切除术(TME)治疗中低位直肠癌的临床效果。方法:抽取2018年12月至2020年12月南阳南石医院收治的86例中低位直肠癌患者作为研究对象,按照摸球法分为研究组和对照组,每组43例。研究组行保留LCA的TME,对照组行不保留LCA的腹腔镜TME。比较两组患者的手术情况、术后并发症发生情况及随访情况。结果:研究组术后造口率(6.98%,3/43)、术后吻合口漏发生率(4.65%,2/43)低于对照组(23.26%,10/43;20.93%,9/43),P<0.05。两组转移率、复发率、1年存活率比较差异均未见统计学意义(P均>0.05)。结论:TME治疗中低位直肠癌中保留LCA与不保留LCA的治疗效果相当,保留LAC能降低术中造口率及吻合口漏发生率。
Objective To analyze the clinical efficacy of preserving left colic artery(LCA)in total mesorectal excision(TME)on middle and low rectal cancer.Methods A total of 86 patients with middle and low rectal cancer admitted to Nanshi Hospital of Nanyang from December 2018 to December 2020 were selected as the research subjects,and they were divided into study group and control group by drawing balls,with 43 cases in each group.The study group received preservation of LCA in TME,and the control group received laparoscopic TME without preservation of LCA.The surgical situation,postoperative complications and follow-up results of the two groups were compared.Results The postoperative stoma rate(6.98%,3/43)and incidence of postoperative anastomotic leakage(4.65%,2/43)in the study group were lower than those in the control group(23.26%,10/43;20.93%,9/43),P<0.05.There was no significant difference in metastasis rate,recurrence rate and 1-year survival rate between the two groups(all P>0.05).Conclusions Preservation of LCA in TME has comparable effect with laparoscopic TME without preservation of LCA in the treatment of middle and low rectal cancer.Moreover,it can reduce the intraoperative stoma rate and the incidence of anastomotic leakage.
作者
齐若谷
王鄂明
Qi Ruogu;Wang Eming(Department of General Surgery,Nanshi Hospital of Nanyang,Nanyang 473000,China)
出处
《中国实用医刊》
2023年第17期29-32,共4页
Chinese Journal of Practical Medicine
关键词
直肠癌
左结肠动脉
全直肠系膜切除术
并发症
Rectal neoplasms
Left colic artery
Total mesorectal excision
Complications
