腹腔镜Mile's术后经腹膜外与经腹膜内造口效果对比

Comparison on the Effect of Extraperitoneal and Intraperitoneal Stoma after Laparoscopic Mile’s Surgery

目的:对比腹腔镜Mile's术后经腹膜外与经腹膜内造口的临床效果。方法:选择笔者所在医院2019年8月-2020年4月收治的80例腹腔镜Mile's术后直肠癌患者作为研究对象,根据造口方式的差异分成观察组和对照组,各40例,其中对照组选择经腹膜内造口,观察组选择经腹膜外造口,对比两组患者的恢复情况及并发症发生率。结果:观察组患者的术中出血量、排气时间、排便时间及住院时间均优于对照组(P<0.05),且术后早期及术后远期并发症发生率低于对照组(P<0.05)。结论:对于腹腔镜Mile's术后直肠癌患者,经腹膜外造口较之腹膜内造口,能改善术后情况,降低早期和远期并发症发生率,值得临床推广和借鉴。

Objective:To compare the clinical effects of extraperitoneal and intraperitoneal stoma after laparoscopic Mile’s surgery.Method:A total of 80 patients with rectal cancer after laparoscopic Mile’s surgery in our hospital from August 2019 to April 2020 were selected as the research objects,and they were divided into the observation group and the control group according to the difference of stoma methods,with 40 cases in each group.The control group was treated with intraperitoneal stoma,and the observation group was treated with extraperitoneal stoma.Result:The intraoperative blood loss,exhaust time,defecation time and hospitalization time of the observation group were better than those of the control group(P<0.05);and the early and long-term postoperative complications rate of the observation group were lower than those of the control group(P<0.05).Conclusion:Compared with intraperitoneal stoma,extraperitoneal stoma can improve the postoperative conditions and reduce the incidence of early and long-term complications in patients with rectal cancer after laparoscopic Mile’s operation,which is worthy of clinical promotion and reference.