摘要
目的对腹腔镜下直肠癌根治术采用不同手术入路的实际效果进行分析和探究。方法回顾分析2020年6月至2022年8月期间在盐城市第一人民医院进行了腹腔镜下直肠癌根治术治疗的84例患者治疗资料,使用双盲法的分组方式将患者分为两组,分别为对照组(n=42)以及观察组(n=42)。对照组采用常规的中间入路腹腔镜直肠癌根治术,而观察组的治疗方法选择头侧中间入路腹腔镜直肠癌根治术,比较两组患者手术情况以及术后恢复及随访情况。结果对照组和观察组患者的手术时间、手术中出血量、术后肛门首次排气时间以及住院时间对比,差异无统计学意义(P>0.05)。对照组患者手术中第253组淋巴结清扫数量相较于观察组较低,差异有统计学意义(P<0.05)。对照组与观察组术后不良反应的发生率比较无显著性差异(P>0.05)。两组患者术后随访期间无肿瘤复发、转移及因肿瘤相关因素导致的死亡。结论在腹腔镜直肠癌根治术时使用头侧中间入路和传统中间入路相比有同样的安全性和有效性。但更有助于第253组淋巴结的清扫。
Objective To analyze and explore the practical effects of different surgical approaches in laparoscopic radical resection of rectal cancer.Methods A retrospective analysis was conducted on the treatment data of 84 patients who underwent laparoscopic radical resection of rectal cancer at the Yancheng No.1 People's Hospital from June 2020 to August 2022.The patients were divided into a control group(n=42)and an observation group(n=42)using a double-blind grouping method.The control group received traditional intermediate approach laparoscopic rectal cancer radical surgery for treatment,while the observation group received cephalic intermediate approach laparoscopic rectal cancer radical surgery for treatment.Afterwards,the surgery,postoperative recovery,and follow-up of the two groups of patients were compared.Results There was no statistically significant difference between the two groups in terms of intraoperative bleeding volume,surgical time,hospital stay,and thefirst postoperative anal gas release time,with P>0.05.The number of lymph node dissection in group 253 of the control group patients during surgery was lower than that in the observation group,with P<0.05,and the difference between the two groups was statistically significant.There was no statistically significant difference in the incidence of postoperative adverse reactions between the control group and the observation group,P>0.05.During the postoperative follow-up period,there was no tumor recurrence,metastasis,or death caused by tumor related factors in both groups of patients.Conclusions The use of the cephalic intermediate approach in laparoscopic radical resection of rectal cancer is equally safe and effective compared to the traditional intermediate approach.But it is more helpful for the dissection of the 253rd group lymph nodes.
作者
王加祥
WANG Jiaxiang(Yancheng No.1 People's Hospital,Yancheng 224000,China)
出处
《中国医药指南》
2024年第9期87-89,93,共4页
Guide of China Medicine
关键词
腹腔镜
直肠癌根治术
手术入路
手术效果
随访情况
Laparoscopy
Rectal cancer radical surgery
Surgical approach
Surgical effect
Follow up situation
