作者：杨冠宁，宋涛，何军强

单位：江门市新会区人民医院 普外二科，广东 江门 529100

Authors: Yang Guanning, Song Tao, He Junqiang

Unit: Second Department of General Surgery, Xinhui People's Hospital, Jiangmen 529100, Guangdong, China

摘要：

目的 腹腔镜辅助下大肠外翻拖出式手术对结直肠癌患者的有效性以及对患者并发症发生的影响分析。方法 选取2018年6月至2020年1月来江门市新会区人民医院就诊的72例结直肠癌患者开展研究,双盲法分为对照组、试验组,各36例。对照组以腹腔镜辅助下结直肠前切除结直肠癌根治术治疗为主,试验组以腹腔镜辅助下大肠外翻拖出式手术治疗为主,对比分析两组的手术情况、切缘阳性情况、吻合口并发症情况、术后复发情况、术后排便次数、免疫功能和疼痛评分。结果 实施不同手术方法治疗后,两组的手术出血量、手术时间、吻合口并发症总发生率、术后复发率、术后6个月内排便次数差异均无统计学意义(P>0.05);两组均未有患者的切缘呈阳性;试验组术后2周内排便次数多于对照组(P<0.05);不论是术前还是术后,两组的各项免疫功能指标、疼痛评分间差异无统计学意义(P>0.05)。结论 腹腔镜辅助下大肠外翻拖出式手术同腹腔镜辅助下结直肠前切除结直肠癌根治术治疗效果相似,腹腔镜辅助下大肠外翻拖出式手术的操作简洁方便,且安全可靠。

关键词：结直肠癌; 腹腔镜; 大肠外翻拖出式手术; 有效性; 并发症

Abstract：

Objective To analyze the effectiveness of laparoscopic assisted rectal eversion pull-through operation in patients with colorectal cancer and its effect on the incidence of complications. Methods A total of 72 patients with colorectal cancer in our hospital from June 2018 to January 2020 were selected for the study. The double-blind method was divided into the control group and the experimental group, 36 cases in each group. The control group was mainly treated with laparoscopic assisted rectal anterior resection for colorectal cancer, while the experimental group was mainly treated with laparoscopic assisted rectal eversion pull-through operation. The operation condition, positive cutting edge condition, anastomotic complications, postoperative recurrence condition, postoperative defecation frequency, immune function and pain score of the two groups were compared and analyzed. Results There was no significant difference between the two groups in bleeding volume, operation time, total incidence of anastomotic complications, postoperative recurrence rate and defecation frequency within half a year after operation (P>0.05); no positive margin was found in the two groups; the number of defecation in the experimental group was more than that in the control group (P<0.05); no matter before or after operation There was no significant difference between the two groups (P>0.05). Conclusion The therapeutic effect of laparoscopic assisted eversion pull-through operation and laparoscopic assisted colorectal anterior resection for colorectal cancer is similar. Laparoscopic assisted eversion pull-through operation is simple, convenient, safe and reliable, which is worthy of clinical application.

Key Words: Colorectal cancer; Laparoscope; Eversion pull-through operation; Effectiveness; Complications