不同观察孔位置对腹腔镜直肠癌根治术患者的手术效果及术后康复情况的影响

Influence of different position of observation hole on operative effect and postoperative rehabilitation in patients undergoing laparoscopic radical resection of rectal cancer

目的探讨不同观察孔位置对腹腔镜直肠癌根治术患者的手术效果及术后康复情况的影响。方法选取我院2016年5月至2018年10月收治的60例行腹腔镜直肠癌根治术的患者作为研究对象,根据观察孔位置不同将其分为观察组(30例,右侧观察孔)和对照组(30例,中央观察孔)。比较两组患者的手术相关指标及术后康复情况。结果观察组的手术时间明显短于对照组,术中出血量明显少于对照组,淋巴结清扫数明显多于对照组,差异具有统计学意义(P<0.05)。观察组的术后下床活动时间、肛门排气时间、进食时间及住院时间均明显短于对照组,差异具有统计学意义(P<0.05)。结论临床使用腹腔镜直肠癌根治术治疗时采用右侧观察孔有助于提高手术效果,促进患者术后快速康复,值得进一步推广应用。

Objective To explore the influence of different position of observation hole on operative effect and postoperative rehabilitation in patients undergoing laparoscopic radical resection of rectal cancer.Methods A total of 60 patients who underwent laparoscopic radical resection of rectal cancer admitted in our hospital from May 2016 to October 2018 were selected as the study objects and divided into observation group(30 cases,right-sided observation hole)and control group(30 cases,central observation hole)according to the different position of the observation hole.The operation related indexes and postoperative rehabilitation of the two groups were compared.Results The operation time in the observation group was significantly shorter than that in the control group,the amount of intraoperative hemorrhage was significantly less than that in the control group,and the number of lymph node dissection was significantly more than that in the control group(P<0.05).The time of getting out of bed,anal exhaust,eating and hospitalization in the observation group were significantly shorter than those in the control group(P<0.05).Conclusion The use of right-sided observation hole in the treatment of laparoscopic radical resection of rectal cancer is helpful to improve the surgical results and promote rapid recovery after surgery,which is worthy of further promotion and application.