手术室无瘤技术在腹腔镜直肠癌根治术患者中的应用效果

Application effect of tumor-free technique in operating room in patients undergoing laparoscopic radical resection of rectal cancer

目的 探讨手术室无瘤技术在腹腔镜直肠癌根治术患者中的应用效果。方法 根据干预方式的不同将75例腹腔镜直肠癌根治术患者分为常规组(n=35)和研究组(n=40),常规组患者采取常规干预,研究组患者在常规组的基础上采取手术室无瘤技术。比较两组患者的手术相关指标、生活质量[欧洲癌症研究与治疗组织生命质量测定量表(EORTC QLQ-C30)]、并发症发生情况、满意度及复发情况。结果 研究组患者手术时间、术后住院时间均明显短于常规组,术中出血量明显少于常规组,差异均有统计学意义(P﹤0.01)。治疗后,两组患者EORTC QLQ-C30各维度评分均高于本组治疗前,研究组患者EORTC QLQ-C30各维度评分均高于常规组,差异均有统计学意义(P﹤0.05)。研究组患者的并发症总发生率明显低于常规组,总满意度明显高于常规组,差异均有统计学意义(P﹤0.01)。术后3个月,研究组患者的复发率低于常规组(P﹤0.05)。结论 手术室无瘤技术应用于腹腔镜直肠癌根治术患者中,可提高手术效率,有利于患者术后恢复,降低术后并发症发生率及复发率,还可改善患者生活质量,提高患者满意度。

Objective To investigate the application effect of tumor-free technique in operating room in patients undergoing laparoscopic radical resection of rectal cancer.Method A total of 75 patients who underwent laparoscopic radical resection of rectal cancer were divided into conventional group(n=35) and study group(n=40) according to different intervention methods.The conventional group received conventional intervention,and the study group received tumorfree technique in operating room on the basis of the conventional group.The surgery-related indicators,quality of life [European Organization for Research and Treatment of Cancer quality of life questionnaire core 30(EORTC QLQ-C30)],complications,satisfaction and recurrence were compared between the two groups.Result The operative time and postoperative hospital stay in the study group were significantly shorter than those in the conventional group,and the intraoperative blood loss was significantly less than that in the conventional group,and the differences were statistically significant(P<0.01).After treatment,the scores of each dimension of EORTC QLQ-C30 in both groups were higher than those before treatment,and the scores of each dimension of EORTC QLQ-C30 in the study group were higher than those in the conventional group,and the differences were statistically significant(P<0.05).The total incidence of complications in the study group was significantly lower than that in the conventional group,and the total satisfaction rate was significantly higher than that in the conventional group,and the differences were statistically significant(P<0.01).At 3 months after surgery,the recurrence rate in the study group was lower than that in the conventional group(P<0.05).Conclusion The application of tumor-free technique in operating room in patients undergoing laparoscopic radical resection of rectal cancer can improve the efficiency of surgery,facilitate postoperative recovery of patients,reduce the incidence of postoperative complications and recurrence rate,improve the quality of life and satisfaction.