重叠式三角吻合技术在单孔腹腔镜直肠前切除术治疗直肠癌的应用价值

The application value of overlapping triangular anastomosis technique in single port laparoscopic anterior rectal resection for the treatment of rectal cancer

目的:探讨重叠式三角吻合技术在单孔腹腔镜直肠前切除术治疗直肠癌中的应用价值。方法:选取收治的60例直肠癌患者,采用数字随机法将其分为对照组(n=30)和观察组(n=30),两组均接受单孔腹腔镜直肠前切除术治疗,其中对照组应用传统三角吻合技术进行单孔腹腔镜直肠前切除术治疗,观察组应用重叠式三角吻合技术进行单孔腹腔镜直肠前切除术治疗。对比两组手术指标、术后恢复情况、术后病理情况以及术后并发症发生情况。结果:两组手术时间、手术切口长度、术中出血量比较,差异无统计学意义(P>0.05),观察组消化道重建时间短于对照组,差异有统计学意义(P<0.05);两组术后首次下床活动时间、术后住院时间比较,差异无统计学意义(P>0.05),观察组患者术后首次排气时间、排粪时间均短于对照组,差异有统计学意义(P<0.05);两组患者近端切缘、远端切缘、肿瘤大小、淋巴结清扫数目比较差异无统计学意义(P>0.05);两组术后并发症发生情况比较,差异无统计学意义(P>0.05)。结论:重叠式三角吻合技术在单孔腹腔镜直肠前切除术治疗直肠癌患者,近期疗效显著,患者术后首次排气时间和排粪时间均明显缩短,且有利于患者术后尽快恢复肠道功能,相比于传统的腹腔镜下三角吻合术,术后并发症未明显增加,应用于临床具有较大的价值。

Objective To explore the application value of overlapping triangular anastomosis technique in single port laparoscopic anterior rectal resection for the treatment of rectal cancer.Method Sixty patients with rectal cancer were selected, and they were dividedinto a control group(n=30) and an observation group(n=30) by a number random method, two groups received single port laparoscopic anterior rectal resection. The control group used traditional triangular anastomosis for single port laparoscopic anterior rectal resection, and the observation group used overlapped triangular anastomosis for single port laparoscopic anterior rectal resection. treatment. The surgical indicators, postoperative recovery, postoperative pathology and postoperative complications were compared between the two groups.Results The operation time, surgical incision length, and intraoperative blood loss were compared between the two groups of patients(P>0.05). The digestive tract reconstruction time in the observation group was shorter than that in the control group(P<0.05);Comparison of hospitalization time(P>0.05). The time of first exhaust and defecation after operation in the observation group were shorter than those in the control group(P<0.05);The proximal and distal resection margins, tumor size, and lymph nodes of the two groups comparison of the number of dissections(P>0.05);Comparison of postoperative complications between the two groups(P>0.05).Conclusion The overlapping triangular anastomosis technique in the treatment of rectal cancer patients with single port laparoscopic anterior rectal resection has a significant short-term curative effect. The time of first exhaust and defecation after the operation are significantly shortened, and it is helpful for the patient to recover the intestinal function as soon as possible after the operation. Compared with the traditional laparoscopic triangular anastomosis, the postoperative complications have not increased significantly, and it is of great value in clinical application.