腹腔镜辅助下直肠外翻拖出式手术治疗直肠癌效果观察

Therapeutic observation of laparoscopy assisted rectal valgus and pull-out surgery in patients with rectal cancer

目的:观察直肠癌患者应用腹腔镜辅助下直肠外翻拖出式手术治疗的效果。方法:选择某院收治的直肠癌患者82例,按治疗方式的不同分为观察组和治疗组,每组各41例,对照组采用腹腔镜直肠前切除直肠癌根治术治疗,观察组采用腹腔镜辅助下直肠外翻拖出式手术,比较2组患者临床相关指标、并发症发生率、10个月内种植性肿瘤转移率和局部复发率。结果:观察组术后肠功能恢复时间、住院时间均短于对照组,恢复饮食后每日平均排便次数少于对照组(P<0.05);观察组并发症发生率、10个月内种植性肿瘤转移率和局部复发率均低于对照组,2组比较差异有统计学意义(P<0.05)。结论:腹腔镜辅助下直肠外翻拖出式手术治疗直肠癌,有利于患者病情恢复,降低并发症发生率,抑制肿瘤转移和复发,值得借鉴。

Objective :To observe the effect of laparoscopy assisted rectal valgus and pull-out surgery in patients with rectal cancer. Methods :A total of 82 patients with rectal canceRadmitted to hospital were selected foRretrospective analysis and were divided into a control group (41 cases, laparoscopic rectal anterioRresection), and an observation group (41 cases, laparoscopically assisted rectal valgus surgery).Relevant clinical data, complication rate, rates of transcoelomic metastasis and local recurrence within 10 months were compared between the two groups. Results :The recovery time and hospitalization time of the observation group were shorteRthan those of the control group, and the average daily defecation rate afteRthe diet was loweRthan that of the control group ( P <0.05). The complication rate, the rate of transcoelomic metastasis and local recurrence rate within 10 months of the observation group were significantly loweRthan those of the control group ( P <0.05). Conclusion : In treatment of rectal cancer, laparoscopy assisted rectal valgus and pull-out surgery is beneficial to the recovery of patients. The incidence of complications is low, and it can effectively inhibit tumoRmetastasis and recurrence. It is worth learning.