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减孔腹腔镜直肠前切除术在中高位直肠癌患者中的应用研究▲
Application research of reduced port laparoscopic anterior resection in patients with middle and high rectal cancer

微创医学 20221704期 页码:421-424

作者机构:苏州大学附属常熟医院普通外科,江苏省常熟市215500

基金信息:▲基金项目:苏州市科技发展计划项目(编号:SYS2020058);常熟市科技发展计划项目(编号:CS202029)*通信作者

DOI:DOI:10.11864/j.issn.1673.2022.04.05

  • 中文简介
  • 英文简介
  • 参考文献
目的探讨减孔腹腔镜直肠前切除术(RPLAR)在中高位直肠癌患者中的应用效果。方法将92例中高位直肠癌患者随机分为对照组与观察组,各46例。对照组患者采用常规腹腔镜直肠前切除术(CLAR)治疗,观察组患者采用RPLAR治疗。比较两组患者术中指标、术后康复指标和并发症发生情况。结果观察组患者的手术时间、术中出血量、引流管拔除时间、术后下床活动时间、住院时间均短于或少于对照组,肠功能恢复情况评分低于对照组(均P<0.05),而两组的淋巴结清扫数目、术后并发症发生率差异均无统计学意义(均P>0.05)。结论与CLAR相比,采用RPLAR治疗中高位直肠癌患者的效果更佳,有利于促进患者术后康复,值得临床推广应用。
ObjectiveTo investigate the application effect of reduced port laparoscopic anterior resection (RPLAR) in patients with middle and high rectal cancer. MethodsA total of 92 patients with middle and high rectal cancer were randomly divided into control group and observation group, with 46 cases in each group. The control group received conventional laparoscopic anterior resection (CLAR), and the observation group received RPLAR. The intraoperative indicators, postoperative rehabilitation indicators and occurrence of complications were compared between the two groups. ResultsThe operation time, intraoperative blood loss, drainage tube removal time, postoperative ambulation time, and hospital stay of the observation group were shorter or less than those of the control group, as well as the score of intestinal function recovery was lower than that of the control group (all P<0.05). There was no significant difference in the number of lymph nodes dissection and the incidence of postoperative complications between the two groups (all P>0.05). ConclusionCompared with CLAR, RPLAR has better effect in the treatment of patients with middle and high rectal cancer, which is conducive to promoting postoperative rehabilitation of patients and worthy of clinical application.

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