摘要
目的 分析结直肠癌患者接受以腹腔镜辅助的结直肠外翻托出式手术的治疗效果。方法 随机选取2020年1月—2022年12月于江苏省连云港市赣榆区人民医院普外科接受手术治疗的80例结直肠癌患者为研究对象,采用信封法随机分成两组,对照组40例开展腹腔镜直肠前切除手术,观察组40例开展腹腔镜辅助下结直肠外翻托出式手术。比较两组各项手术指标、术后并发症,留意患者疾病复发情况。结果 两组患者手术时间指标对比,差异无统计学意义(P>0.05),而在手术其他指标对比中,观察组术中出血量少,日均排便次数多,肠道恢复时间和住院时间均短,与对照组相比,差异有统计学意义(P均<0.05);观察组术后并发症发生率明显较对照组更低,差异有统计学意义(P<0.05);5个月的随访过程中,观察组仅有5.00%的患者复发,比对照组的22.50%低,差异有统计学意义(χ^(2)=5.165,P<0.05)。结论 腹腔镜辅助下结直肠外翻托出式手术应用在结直肠癌患者中的效果确切,患者术中出血量较少,可促使患者早期恢复肠道功能,降低术后不良并发症发生概率和疾病复发风险,可作为理想的手术治疗方案。
Objective To analyze the therapeutic effect of laparoscope-assisted colorectal evaposion in patients with colorectal cancer.Methods A total of 80 patients with colorectal cancer underwent surgical treatment in the department of general surgery of Ganyu District People's Hospital in Lianyungang City,Jiangsu Province from January 2020 to December 2022.were randomly selected as the study objects and randomly divided into two groups by envelope method.40 cases in the control group underwent laparoscopic anterior rectal resection,and 40 cases in the observation group underwent laparoscope-assisted colorectal evaposion operation.The surgical indexes,postoperative complications and diserse recurrence of the were compared between the two groups.Results There was no significant difference in operation time between the two groups,the difference was not statistically significant(P>0.05).Compared with the control group,the observation group had less blood loss,more daily defecation times,shorter intestinal recovery time and hospital stay,and the differences were statistically significant(all P<0.05).The incidence of postoperative complications in the observation group was significantly lower than that in the control group,the difference was statistically significant(P<0.05).During 5-month follow-up,only 5.00% of patients in the observation group relapsed,which was significantly lower than 22.50% in the control group,the difference was statistically significant(χ^(2)=5.165,P<0.05).Conclusion Laparoscope-assisted colorectal evaposion surgery has a definite effect in colorectal cancer patients with less intraoperative blood loss,which can promote the early recovery of intestinal function in patients,reduce the incidence of postoperative adverse complications and the risk of disease recurrence,and can be promoted as an ideal surgical treatment plan.
作者
吴茂谦
WU Maoqian(Department of General Surgery,Ganyu District People's Hospital,Lianyungang,Jiangsu Province,222100 China)
出处
《中外医疗》
2023年第36期58-61,共4页
China & Foreign Medical Treatment
关键词
腹腔镜
结直肠外翻托出式手术
腹腔镜直肠前切除术
术后并发症
Laparoscopy
Colorectal evaposion and evisceration surgery
Laparoscopic anterior rectal resection
Postoperative complication
