摘要
目的探查新辅助放化疗后的低位直肠癌患者行保留左结肠血管直肠癌根治术的临床疗效及安全性。方法收集医院2017年1月—2020年1月确诊为新辅助放疗后低位直肠癌的临床资料。根据处理肠系膜下动脉分支的方式,随机选取30例保留左结肠血管为观察组,30例不保留左结肠血管为对照组。对比两组的一般资料、手术疗效、吻合口并发症等。结果两组收集病例具有同质性,手术出血量、淋巴结清扫个数差异无统计学意义(P>0.05),手术时间观察组大于对照组(P<0.05)。观察组吻合口瘘发生几率低于对照组(P<0.05),吻合口出血发生情况两组差异无统计学意义(P>0.05)。结论新辅助治疗后的低位直肠癌患者,行保留左结肠血管根治术可减少吻合口瘘的发生,安全有效。
Objective To observe clinical efficacy and safety of preservation of left colonic artery in laporoscopic for lower rectal cancer after neoadjuvant therapy.Methods The clinical data of rectal cancer after neoadjuvant radiotherapy in our hospital from January 2017 to January 2020 were collected.According to the different treatment of left colonic artery,they were randomly selected 30 cases with preserved left colon artery as the observation group,30 cases without preserved left colon artery as the control group.And to compare the general information,surgical efficacy and anastomotic complications of the two groups.Results The collected cases of the two groups were homogeneous,and there was no statistically significant difference in the amount of surgical bleeding and the number of lymph node dissections(P>0.05).The operation time in the observation group was longer than that in the control group(P<0.05).The incidence of anastomotic leakage in the observation group was lower than that in the control group(P<0.05).There was no significant difference in the cases of anastomotic bleeding between the two groups(P>0.05).Conclusion For patients with low rectal cancer after neoadjuvant therapy,left colon preservation can reduce the incidence of anastomotic leakage,which is safe and effective.
作者
罗立雄
李凌
周宝华
郭银枞
LUO Lixiong;LI Ling;ZHOU Baohua;GUO Yinzong(Department of Colorectal Surgery,Zhangzhou Hospital Affiliated to Fujian Medical University,Zhangzhou Fujian 363000,China)
出处
《中国卫生标准管理》
2021年第21期48-51,共4页
China Health Standard Management
关键词
新辅助
保留左结肠
肠系膜下动脉
低位直肠前切除
吻合口瘘
鞘内分离
neoadjuvant therapy
preservation of left colon artery
inferior mesenteric artery
low anterior rectal resection
anastomotic leakage
intrathecal separation
