当前位置:首页 / 加速康复外科联合单孔加一腹腔镜结直肠癌根治术治疗结直肠癌的临床研究▲
论著 | 更新时间:2023-07-06
|
加速康复外科联合单孔加一腹腔镜结直肠癌根治术治疗结直肠癌的临床研究▲
Clinical study of enhanced recovery after surgery combined with single-incision plus one-port laparoscopic radical resection of colorectal cancer in the treatment of colorectal cancer

微创医学 20231803期 页码:316-319+336

作者机构:梧州市红十字会医院胃肠外科,广西梧州市543002

基金信息:▲基金项目:梧州市科学研究与技术开发计划项目(编号:202102084)*通信作者

DOI:DOI:10.11864/j.issn.1673.2023.03.09

  • 中文简介
  • 英文简介
  • 参考文献
目的探讨加速康复外科(ERAS)联合单孔加一腹腔镜(SILS+1)结直肠癌根治术治疗结直肠癌的临床效果。方法选取100例结直肠癌患者为研究对象,按随机数字表法分为对照组和观察组,各50例。对照组接受传统腹腔镜结直肠癌根治术(五孔法)治疗,观察组接受SILS+1(两孔法)结直肠癌根治术治疗,两组患者围术期均接受ERAS管理。记录并比较两组患者的手术情况、术后恢复情况及术后并发症情况,通过血常规检查和视觉模拟评分法(VAS)评估两组患者的术后炎症情况和疼痛程度。结果观察组手术时间短于对照组,总切口长度短于对照组,差异均有统计学意义(均P<0.05);但两组术中出血量比较,差异无统计学意义(P>0.05)。术后1 d,两组白细胞计数、中性粒细胞比例均升高,但观察组均低于对照组,差异均有统计学意义(均P<0.05)。术后1 d,观察组VAS评分明显低于对照组,差异有统计学意义(P<0.05)。观察组术后首次下床时间、术后住院时间均短于对照组,差异均有统计学意义(均P<0.05);两组术后肛门首次排气时间比较,差异无统计学意义(P>0.05)。观察组术后并发症发生率为4.0%(2/50),对照组术后并发症发生率为10.0%(5/50),组间差异无统计学意义(P>0.05)。结论SILS+1结直肠癌根治术治疗结直肠癌的效果显著,联合ERAS管理能显著提高手术效率,减轻患者创伤和痛苦,有利于术后恢复。
ObjectiveTo investigate the clinical effect of enhanced recovery after surgery (ERAS) combined with single-incision plus one-port laparoscopic surgery(SILS+1)radical resection of colorectal cancer in the treatment of colorectal cancer. MethodsA total of 100 patients with colorectal cancer were selected as the research objects and were divided into a control group and an observation group according to the random number table method, with 50 cases in each group. The control group received traditional laparoscopic radical resection of colorectal cancer (five-port method), and the observation group received SILS+1 (two-port method) radical resection of colorectal cancer. Patients in both groups received ERAS management during the perioperative period. The surgical conditions, postoperative recovery, and postoperative complications of the two groups were recorded and compared. Blood routine examination and visual analogue scale (VAS) were used to evaluate the postoperative inflammation and pain degree of the two groups. ResultsThe operation time and total incision length of the observation group were shorter than those of the control group, with statistically significant differences (all P<0.05), but there was no statistically significant difference in intraoperative blood loss between the two groups (P>0.05). One day after operation, the white blood cell count and the proportion of neutrophils in the two groups increased, but those in the observation group were lower than those in the control group, with statistically significant differences (all P<0.05). One day after operation, the VAS score of the observation group was significantly lower than that of the control group, and the difference was statistically significant (P<0.05). The first time of getting out of bed after operation and postoperative hospital stay in the observation group were shorter than those in the control group, and the differences were statistically significant (all P<0.05). There was no statistically significant difference in the first anal exhaust time between the two groups after operation (P>0.05). The incidence of postoperative complications was 4.0% (2/50) in the observation group and 10.0% (5/50) in the control group, and there was no statistically significant difference between the two groups (P>0.05). ConclusionSILS+1 radical resection of colorectal cancer has a significant effect on colorectal cancer. Combined with ERAS management, it can significantly improve the operation efficiency, reduce the trauma and pain of patients, and is conducive to postoperative recovery.

1851

浏览量

274

下载量

0

CSCD

工具集