摘要
目的探讨关闭盆底腹膜在腹腔镜直肠癌Miles根治术中的意义和价值。方法将2010年1月～2011年2月期间本院收治的47例行腹腔镜Miles根治术的直肠癌患者根据是否缝合关闭盆底腹膜分为关闭盆底组(A组)及未关闭盆底组(B组),比较2组在全程手术时间、术后骶前引流量,术后会阴部切口感染发生率及术后肠梗阻发生率方面的差异。结果 A组的手术时间长于B组(P<0.05)、术后引流量,切口感染发生率及肠梗阻发生率与B组对照无显著性差异(P>0.05)。结论关闭盆底腹膜在腹腔镜直肠癌Miles根治术中并非必须,但对于需要术后放疗的患者,在预防放射性小肠炎方面有应用价值。
Objective To evaluate the effectiveness of pelvic peritoneum reconstuction （PPR） in laparoscopic abdominal perineal resection （LAPR） for rectal carcinoma. Methods Forty - seven patients who underwent LAPR from January 2010 to February 2011 were divided into groups A and B. Group A received PPR during LAPR, while group B received LAPR without PPR. Operation duration, presarcal drainage, incidence of surgical site infection （SSI） and intestinal ob- struction were compared between the two groups. Results Operation duration in group A was sig- nificantly longer than that in group I3 （P（0.05）. Presarcal drainage, incidence o~ surgical site in- fection （SSI） and intestinal obstruction were compared between the two groups. No significant dif- ference was found （P 〉0.05）. Conclusion PPR is not mandatory in LAPR, and it is recommend- ed in patients with possible postoperative radiotherapy as a prophiactic measure for radiation enteri- tis.
出处
《实用临床医药杂志》
CAS
2012年第17期87-89,共3页
Journal of Clinical Medicine in Practice
关键词
腹腔镜手术
直肠癌
盆底腹膜
laparoscopic surgery
rectal carcinoma
pelvic peritoneum
