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直肠癌低位前切除术后不同肠道重建方式比较的Meta分析

龚笑勇 陈拥军 蔡琳燕 金志明 尹路

河北医学2016,Vol.22Issue(9):1419-1420,2.
河北医学2016,Vol.22Issue(9):1419-1420,2.DOI:10.3969/j.issn.1006-6233.2016.09.005

直肠癌低位前切除术后不同肠道重建方式比较的Meta分析

Meta Analysis of Different Intestinal Tract Reconstruction after Low Anterior Resection for Rectal Cancer

龚笑勇 1陈拥军 1蔡琳燕 2金志明 3尹路4

作者信息

  • 1. 上海交通大学医学院附属瑞金医院普外科,上海卢湾区 200025
  • 2. 上海交通大学医学院附属瑞金医院急诊科,上海卢湾区 200025
  • 3. 上海交通大学附属第六人民医院普外科,上海徐汇区 200233
  • 4. 上海杨浦区中心医院胃肠外科,上海杨浦区 200090
  • 折叠

摘要

Abstract

Objective:To analyze the influence of different intestinal tract reconstruction after low ante-rior resection of rectal cancer on the function of defecation in the early stage and after the operation. Methods:Using database from Dec. 1995 to May 2016 published in line with the literature inclusion criteria were ran-domized controlled clinical trials were retrieved. Selected reconstruction success rate,anastomotic leakage and 24 hours defecation frequency as intraoperative. Results: Two ways in the operative mortality rate ,24 hours defecation frequency and incidence of anastomotic leakage( P >0.05) had no statistical significance .The fail-ure rate of colonic J pouch reconstruction was higher than that of colon ( P<0.05) . Conclusion:CJP and TCP both have high safety and reliability,the CJP has enough clinical data to prove its long-term curative effect is equally safe and effective.

关键词

直肠癌/结肠J型小贮袋/结肠成形术

Key words

Rectal cancer/Colonic J-pouch/Transverse coloplasty pouch

引用本文复制引用

龚笑勇,陈拥军,蔡琳燕,金志明,尹路..直肠癌低位前切除术后不同肠道重建方式比较的Meta分析[J].河北医学,2016,22(9):1419-1420,2.

基金项目

上海市科委基金资助项目,(编号:074119602) (编号:074119602)

河北医学

OACSTPCD

1006-6233

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