腹腔镜直肠癌根治术中保留左结肠动脉的临床分析

Clinical analysis of left colon artery preservation in laparoscopic radical resection of rectal cancer

目的:探讨保留左结肠动脉在腹腔镜直肠癌手术中的临床意义。方法:回顾性分析河南省漯河市中心医院2014年1月—2018年12月收治的87例直肠癌行腹腔镜手术患者的临床资料。其中接受保留左结肠动脉手术41例(低位结扎组),接受不保留左结肠动脉手术46例(高位结扎组)。比较两组术前、术中及术后指标。结果:两组患者在手术时间、出血量、输血量、淋巴结清除数和253组淋巴结转移率、术后排气时间、进食时间、并发症发生率、住院天数上比较差异无统计学意义(P>0.05)。结论:保留左结肠动脉的腹腔镜直肠癌根治术既能达到肿瘤彻底根治的要求,又保留了用于吻合肠管的血供,在临床上是安全、可行的。

Objective:To explore the clinical significance of preserving left colon artery in laparoscopic rectal cancer surgery.Methods:The clinical data of 87 patients with rectal cancer undergoing laparoscopic surgery from January 2014 to December 2018 in Luohe Central Hospital of Henan Province were retrospectively analyzed,including 41 cases with preservation left colon artery(low ligation group)and 46 cases without preservation left colon artery(high ligation group).The preoperative,intraoperative and postoperative indicators were compared between the two groups.Results:There were no significant differences in operation time,blood loss,blood transfusion,lymph node dissection and lymph node(No.253)metastasis rate,postoperative exhaust time,feeding time,complication rate and hospitalization days between the two groups.Conclusion:In the laparoscopic radical resection of rectal cancer,preserving left colon artery which could meet the requirement of radical resection and retain the blood supply for anastomosis of intestinal tube was safe and feasible in clinic.