中国实用外科杂志2017，Vol.37Issue(6)：660-664,5.DOI:10.19538/j.cjps.issn1005-2208.2017.06.16
腹腔镜直肠癌手术中保留左结肠动脉与否疗效对比研究
Laparoscopic radical resection of rectal cancer with and without preservation of the left colonic artery: A comparative study
摘要
Abstract
Objective To evaluate the clinical significance and value of preserving left colic artery (LCA) when treating the inferior mesenteric artery (IMA) in laparoscopic resection for rectal cancer.Methods The clinical data of 523 cases of rectal cancer performed laparoscopic resection of rectal cancer in Renji Hospital,Shanghai Jiaotong University School of Medicine from Janua3y 2015 to December 2016 were analyzed retrospectively.All the cases include 203 cases with preservation of LCA (low ligation group) and 320 cases without preservation of LCA (high ligation group).The clinical conditions during operation and after operation were compared between two groups.Results The difference was not significant statistically in age,sex,tumor size,depth of tumor invasion,histopathologic type,tumor differentiation,blood loss and urinary retention rate between two groups (P ＞ 0.05).The postoperative exhaust time,anastomotic leakage rate and defecation frequency 3 months after operation in low ligation group were lower than those in high ligation group (P ＜ 0.05).What's more,the number of lymph node and operative time in low ligation group was more in high ligation group (P ＜ 0.05).Conclusion Preservation of left colic artery in laparoscopic resection of rectal cancer can achieve radical clearance of lymph nodes,increase the number of lymph node detection,reduce the incidence of anastomotic leakage rate and postoperative exhaust time,which is worth clinical promotion.关键词
结直肠肿瘤/左结肠动脉/肠系膜下动脉/低位结扎/吻合口漏Key words
colorectal cancer/left colic artery/inferior mesenteric artery/low ligation/anastomotic leakage分类
医药卫生引用本文复制引用
骆洋,秦骏,陈建军,俞旻皓,秦绍岚,仇伊尔,钟鸣..腹腔镜直肠癌手术中保留左结肠动脉与否疗效对比研究[J].中国实用外科杂志,2017,37(6):660-664,5.基金项目
上海市中西医专项课题(No.ZHYY-ZXYJHZX-2-17) （No.ZHYY-ZXYJHZX-2-17）
上海市卫生和计划委员会重点项目(No.201540031) （No.201540031）
