双孔腹腔镜下CO_(2)气腹、悬吊技术治疗对高位直肠癌术后疼痛及并发症的影响

Effects of double-port laparoscopic CO_(2)pneumoperitoneum and suspension technique treatment on postoperative pain and complications of high rectal cancer

目的:研究双孔腹腔镜下CO_(2)气腹、悬吊技术治疗对高位直肠癌术后疼痛及并发症的影响。方法:选取2021年1月至2022年12月于上饶市第二人民医院接受手术治疗的高位直肠癌患者86例。根据手术方法不同分为对照组42例(行双孔腹腔镜下CO_(2)气腹)和实验组44例(行双孔腹腔镜下悬吊技术)。对比两组手术围术期指标、视觉模拟(Visual Analogue Scale,VAS)评分、肠道黏膜损伤程度、并发症发生情况。结果:实验组临床总有效率高于对照组(P<0.05)。术后6 h、12 h、24 h、48 h实验组VAS评分均低于对照组(P<0.05)。对照组术后肠道黏膜损伤程度明显高于实验组(P<0.05)。实验组并发症发生率明显低于对照组(P<0.05)。结论:双孔腹腔镜下悬吊技术在高位直肠癌根治术中在比双孔腹腔镜下CO_(2)气腹临床效果更佳,术后疼痛更轻,且具有一定的安全性。

Objective:To study the effects of double-port laparoscopic CO_(2) pneumoperitoneum and suspension technique treatment on postoperative pain and complications of high rectal cancer.Methods:86 patients with high rectal cancer who received surgical treatment in Shangrao Second People's Hospital from January 2021 to December 2022 were selected.According to different operation methods,they were divided into control group of 42 cases(underwent double-port laparoscopic CO_(2) pneumoperitoneum)and experimental group of 44 cases(received double-port laparoscopic suspension technique).The perioperative indicators,Visual Analog Scale(VAS)score,degree of intestinal mucosal injury,and incidence of complications were compared between the two groups.Results:The total effective rate of the experimental group was higher than that of the control group(P<0.05).The postoperative VAS scores of the experimental group were lower than those of the control group at 6 h,12 h,24 h,and 48 h(P<0.05).The degree of intestinal mucosal injury in the control group was significantly higher than that in the experimental group(P<0.05).The complication rate of the experimental group was significantly lower than that of the control group(P<0.05).Conclusion:The double-port laparoscopic suspension technique has better clinical effect than double-port laparoscopic CO_(2) pneumoperitoneum in the radical resection of high rectal cancer,with less postoperative pain,and has certain safety.