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| Impact of Laparoscopic Anterior Resection for Rectal Cancer with Preservation of the Left Colic Artery on Gastrointestinal Function and Postoperative Complications |
| JU Ran, LIU Ping, MIAO Qi |
| The Affiliated Chuzhou Hospital of Anhui Medical University, Anhui Chuzhou 239000, China |
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Abstract Objective: To investigate the effects of laparoscopic anterior resection (LAR) with preservation of the left colic artery (LCA) on gastrointestinal function and postoperative complications in patients with rectal cancer. Methods: A retrospective analysis was conducted on the clinical data of 105 patients who underwent LAR in our hospital from January 2019 to January 2022. Based on the treatment of LCA, patients were divided into the preservation group (54 cases, preserving LCA) and the non-preservation group (51 cases, not preserving LCA). Surgical parameters, lymph node dissection, preoperative and postoperative 2-day gastrointestinal function [gastrin (GAS), motilin (MTL)], and anal function [Wexner constipation score (WCS)] were compared between the two groups. The occurrence of complications in both groups was also recorded. Results: The preservation group had a longer operation time than the non-preservation group, and the incidence of complications was lower in the preservation group (both P < 0.05). There were no significant differences in blood loss, extubation time, postoperative drainage, length of hospital stay, lymph node dissection, GAS, MTL levels, and WCS scores between the two groups (all P > 0.05). Conclusion: Preserving the LCA during LAR for rectal cancer does not affect lymph node dissection, gastrointestinal function, or anal function. Moreover, it may reduce the incidence of postoperative complications.
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[1] Sung H,Ferlay J,Siegel RL,et al.Global cancer statistics 2020:GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries[J].CA Cancer Clin,2021,71(3):209-249.
[2] 杜乃亮,王庭,胡志峰,等.多层螺旋CT血管造影三维重建在腹腔镜结直肠癌根治术中的价值研究[J].肿瘤影像学,2019,28(3):193-197.
[3] 雷响.腹腔镜直肠癌低位前切除术中保留左结肠动脉对术后并发吻合口漏的影响[J].中华解剖与临床杂志,2021,26(2):227-229.
[4] 张曙栋,朱宣进,张金刚,等.老年中低位直肠癌患者腹腔镜直肠前切除术中保留左结肠动脉的疗效分析[J].腹腔镜外科杂志,2021,26(7):520-524.
[5] 李文彬,张晓宇,徐雪,等.早期结直肠癌及癌前病变内镜黏膜下剥离术非治愈性切除的危险因素分析[J].胃肠病学,2022(9):1-8.
[6] 周志翔,龚光伟,赵 丹,等.腹腔镜下直肠癌前切除术中保留左结肠动脉的意义[J].腹部外科,2020,33(1):69-72.
[7] 张骏,康健,孙百顺.腹腔镜直肠癌前切除术中保留左结肠动脉的临床观察[J].中国现代普通外科进展,2020,23(1):75-77.
[8] 陈小保,梅天明,魏俊,等.腹腔镜下低位前切除术中保留左结肠动脉对直肠癌患者疗效及预后的影响[J].河北医学,2023,29(2):302-306.
[9] 包光鑑,陈建军.直肠癌腹腔镜低位前切除术中保留左结肠动脉的临床效果观察[J].结直肠肛门外科,2021,27(1):57-60.
[10] 姜慧员,刘海义,江波,等.保留左结肠动脉在腹腔镜直肠癌前切除术中的临床应用和疗效观察[J].中华结直肠疾病电子杂志,2021,10(1):70-75. |
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2024, Vol. 30 
