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Clinical Observation on the Treatment of Colorectal Cancer with Laparoscopically Assisted Colorectal Ectropion Surgery |
YANG Chun, ZHANG Chunxia, JIANG Tao |
Shenyang Anorectal Hospital, Liaoning Shenyang 110002, China |
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Abstract Objective: To study the characteristics of laparoscopic-assisted colorectal ectropion and drag-out surgery for colorectal cancer, and to provide references for optimizing surgical procedures and related research. Methods: 66 colorectal cancer patients who were treated in Shenyang anal and intestinal hospital from July 2018 to July 2020 were selected prospectively. 66 patients were divided into experimental group (n = 33) and control group (n = 33 cases) according to simple random grouping method. The control group performed laparoscopic rectectomy, and the experimental group performed laparoscopic colorectal ectropion and pull out operation. The therapeutic effect of the two groups was evaluated 5 days after operation, and the operation indexes (bleeding, operation time, defecation times per day, intestinal recovery time and hospitalization time), recurrence rate and complication rate were observed and compared. Results: The average daily defecation times in experimental group was (9.62±1.22) times, which was significantly higher than that in control group (5.22±0.80) times, the difference was statistically significant (t=8.032, P<0.05). Comparison of operation time between the two groups [(157.23±43.42) min vs (163.04±40.45) min], the difference was not statistically significant (t=0.074, P>0.05). The postoperative intestinal recovery time [(2.11±0.50) d], intraoperative blood loss [(46.32±4.27) ml] and hospitalization time [(48.44±3.50) d] in experimental groups were significantly shorter or shorter than those in control group [(4.58±0.68) d], [(68.42±6.57) ml] and [(67.90±5.91) d], with statistical significance (t=7.540, 6.279, 7.097, P<0.05).The incidence of complications such as equincisional infection, postoperative anastomotic fistula, abdominal hemorrhage and subcutaneous emphysema in experimental group was significantly lower than that in control group, with statistical significance (P<0.05). The recurrence rate of 5 months after operation in experimental group was significantly lower than that in control group, with statistical significance (P<0.05). Conclusion: Laparoscopic pull-out surgery for colorectal eversion has the advantages of small trauma. And it can significantly reduce the recurrence rate and the incidence of complications and shorten the length of hospital stay. It has the value of promotion.
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[1] 武雪亮,王立坤,黄先涛,等.结直肠癌流行病学特征回顾性研究[J].中国医药导报,2019,16(20):60~63. [2] 陶凯雄,高金波,王国斌.老年结直肠癌患者的临床病理学特点[J].中华胃肠外科杂志,2016,19(5):495~498. [3] 赵立志,王守立,唐纪全,等.全腔镜与腔镜辅助直肠癌前切除临床对比研究[J].现代肿瘤医学,2018,26(9):1382~1388. [4] 朱哲,傅传刚,周主青,等.经直肠取出标本的全腹腔镜前切除术治疗T4a期高位直肠癌及乙状结肠癌的安全性分析[J].中华胃肠外科杂志,2019,22(5):484~487. [5] 张伟健.腹腔镜辅助下直肠外翻拖出式手术对直肠癌的应用评价[J].医药前沿,2018,8(18):181. [6] 中华人民共和国国家卫生健康委员会医政医管局中华医学会肿瘤学分会,中国结直肠癌诊疗规范(2020年版)[J].2020,40(6):601~624. [7] 林晓东,余少平,吴光耀.结直肠癌临床表现对及时诊断的影响[J].中国实用医药,2017,12(2):79~81. [8] 徐谊,赵晓牧,李亚伦,等.128例50岁以下结直肠癌患者的临床特点及预后分析[J].首都医科大学学报,2019,40(1):137~142. [9] 樊向文,张勇,席量.腹腔镜辅助结肠癌根治的安全性和疗效分析[J].中国肿瘤外科杂志,2017,9(5):292~295. [10] 李华.腹腔镜辅助下直肠外翻拖出式手术治疗直肠癌的临床效果研究[J].中华保健医学杂志,2107,19(6):489~491. [11] 谭成.腹腔镜辅助下直肠外翻拖出式手术治疗直肠癌的效果观察[J].中国医学创新,2019,16(1):56~58. [12] 胡自康,李维,苏春志,等.无辅助切口完全腹腔镜下直肠外翻拖出式直肠癌根治术的临床应用价值[J].中国肿瘤外科杂志,2019,11(3):195~198. [13] 陆森.腹腔镜辅助下直肠外翻拖出式手术治疗直肠癌的临床效果研究[J].国际医药卫生导报,2016,22(2):189~191. [14] 林先锋,林大梁,张晓国.腹腔镜辅助下直肠外翻拖出式手术治疗直肠癌的临床效果探讨[J].数理医药学杂志,2016,29(10):1501~1502. [15] 宋康,肖军.腹腔镜辅助下直肠外翻拖出式手术治疗直肠癌效果观察[J].淮海医药,2019,37(3):238~240. |
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