解放军医学院学报2018，Vol.39Issue(2)：114-116,125,4.DOI:10.3969/j.issn.2095-5227.2018.02.007
保留左结肠动脉3D腹腔镜直肠癌根治术的围术期指标观察
Clinical observation of 3D laparoscopic radical rectectomy for rectal cancer with left colic artery reserved
摘要
Abstract
Objective To discuss the safety, feasibility and clinical effectiveness of 3D laparoscopic radical rectectomy for rectal cancer with left colic artery preserved. Methods Clinical data about 115 patients who had undergone routine 3D laparoscopic recectomy in Chinese PLA General Hospital from January 2015 to January 2017 were retrospectively analyzed. Patients were divided into observation group (55 cases with left colic artery preserved) and control group (60 cases without left colic artery preserved). Results There was no significant difference in basic characteristics such as age and sex, operating time [(124.4±8.5) min vs (120.4±9.5) min, P=0.061], blood loss [(54.9±20.7) ml vs (53.4±18.2) ml, P=0.752] and the number of harvested lymph nodes [(34.7±8.2) vs (24.2±8.1), P=0.288], However, the time to pass gas [(2.9 ± 0.4) d vs (3.5 ± 0.5) d, P=0.038], time to take liquid food [(45.8±5.3) h vs (52.4±7.5) h, P=O. 001], and length of hospital stay [(7.1±2.2) d vs (11.4±2.7) d, P ＜ 0.001] of observation group were significantly less than those of control group. Prophylactic ileostomy was performed to 2 cases in observation group and 7 cases in control group. After operation, anastomotic leakage occurred in 2 cases in observation group and 3 cases in control group. Conclusion Patients with rectal cancer who have received 3D laparoscopic radical rectectomy with left colic artery reserved recover quickly and achieve better short-term clinical effect.关键词
3D腹腔镜/直肠癌/左结肠动脉/肠系膜下动脉Key words
3D laparoscopic/rectal cancer/left colon artery/inferior mesenteric artery分类
医药卫生引用本文复制引用
李松岩,宋林杰,那兴邦,李宇轩,胡子龙,张红亮,杜晓辉..保留左结肠动脉3D腹腔镜直肠癌根治术的围术期指标观察[J].解放军医学院学报,2018,39(2):114-116,125,4.基金项目
国家自然基金资助项目(61170123) （61170123）
Supported by the National Natural Science Foundation of China(61170123) （61170123）
