不同辅助切口对腹腔镜直肠癌根治术治疗效果的影响比较

Comparison of the influence of different auxiliary incisions on the therapeutic effect of laparoscopic radical resection of rectal cancer

目的探讨不同辅助切口对腹腔镜直肠癌根治术治疗效果的影响。方法选取许昌市中心医院胃肠外科2015年2月至2016年8月拟行腹腔镜直肠癌根治术的患者160例,按照随机数表法分为两组,各80例。对照组患者接受左下腹部传统辅助切口(简称传统切口组)行腹腔镜根治术,实验组患者接受脐下正中切口(简称正中切口组)行腹腔镜根治术,统计两组患者手术及术后情况。结果两组患者术后排气时间、切口感染和吻合口瘘发生率比较,差异无统计学意义(P>0.05),实验组患者术后切口疼痛程度低于对照组,差异有统计学意义(P<0.05)。结论腹腔镜直肠癌根治术采用脐下正中辅助切口,能够有效降低患者术后疼痛感,且不增加术后吻合口感染和吻合口瘘发生率,不延长患者术后胃肠功能恢复时间,可作为一种新型腹腔镜辅助切口方式在临床推广。

Objective To explore the influence of different auxiliary incisions on the therapeutic effect of laparoscopic radical resection of rectal cancer. Methods A total of 160 patients underwent laparoscopic radical resection of rectal cancer were en- rolled from February of 2015 to August of 2016 in Central Hospital of Xuchang. One hundred and sixty patients were randomly di- vided into experimental group （80 patients） and control group （80 patients）. The patients in the control group underwent laparo- scopic radical resection via the left incision （referred to as the traditional incision group）, and the patients in the experimental group underwent laparoscopic radical resection via the median incision （ referred to as the median incision group）. The related in- dicators of the patients before and after surgery were recorded. Results There was no significant difference in the time of flatus, incision infection and anastomotic fistula between the two groups （P 〉 0. 05 ）. The degree of incisional pain in the experimental group was significantly lower than that of the control group （P 〈 0. 05）. Conclusion Median incision in the laparoscopic radical resection of rectal cancer can effectively reduce the postoperative pain of the patients, and it does not increase the incidence of in- cision infection and anastomotic fistula or prolong the recovery time of gastrointestinal function, which is worthy of clinical promo- tion as a new type of laparoseopic assisted incision.