弧形切割吻合器在腹腔镜直肠癌前切除术中的应用研究

Application of Curved Cutting Stapler in Laparoscopic Precancerous Resection of Rectum

目的:探讨弧形切割吻合器在腹腔镜直肠癌前切除术中的应用。方法:于2018年4月~2019年4月本院接收的96例腹腔镜直肠癌前切除术患者,纳入本次研究,并通过电脑随机法将之划分为两组,其中常规组48例予以内镜下切割吻合器,观察组48例予以弧形切割吻合器。观察两组并发症,并统计其手术耗时、手术失血量、住院天数以及治疗费用。结果:观察组手术失血量、住院天数、并发症与常规组比较,并无统计学差异(P>0.05);观察组手术耗时短于常规组(P<0.05);观察组治疗费用低于常规组(P<0.05)。结论:在腹腔镜直肠癌前切除术中采用弧形切割器的价值更高,虽然操作简单、成本低、手术耗时短,但考虑到术后并发症较多,若患者经济条件允许的情况下,可考虑内镜下切割吻合器。

Objective:To explore the application of arc-shaped stapler in laparoscopic precancerous resection of rectum.Methods:From April 2018 to April 2019,96 patients undergoing laparoscopic rectal resection were included in this study.They were divided into two groups by computer random method,of which the conventional group was 48 One case was given an endoscopic stapler,and the 48 cases in the study group were given an arc-shaped stapler.Observe the complications in the two groups,and calculate the operation time,blood loss,length of hospital stay and treatment costs.Results:There was no statistical difference in the blood loss,length of hospital stay,and complications of the study group compared with the conventional group(P>0.05).The operation time of the study group was shorter than that of the conventional group(P<0.05).The treatment cost of the study group was lower than Routine group(P<0.05).Conclusion:The use of curved cutters in laparoscopic precancerous resection of the rectum is more valuable.Although the operation is simple,the cost is low,and the operation is short,but considering the postoperative complications,if the patient’s economic conditions allow it,consider the endoscopic cutting stapler.