摘要
Abstract
Objective To discuss the related factors and countermeasures of anastomotic healing after minimally invasive low anterior resection (Dixon) operation for rectal cancer. Methods 150 patients with cervical cancer were selected retrospectively from March, 2014 to March, 2018 in The First Hospital of Qinhuangdao City, and the anastomotic healing of patients were observed and the related factors and preventive measures were analyzed. Results 130 cases (86.67％) of anastomotic healing and 20 cases (13.33％) of anastomotic fistula were found in 150 cases. The single factor analysis results showed that age, body mass index, preoperative albumin, diabetes, distance from the anal margin, operation time, anal canal were related to the postoperative anastomotic healing of patients (P ＜ 0.05). A Logistic regression analysis results showed that, age ＞ 60, body mass index ＞ 25 kg/m2, preoperative albumin ≤ 35 g/L, diabetes, distance from anus margin ≤ 7 cm, operation time ＞ 270 min, no anal canal were the independent risk factors for postoperative anastomotic healing of patients (P ＜ 0.05). Conclusion The anastomotic healing after minimally invasive Dixon operation for rectal cancer was related to the risk factors of age ＞ 60, body mass index ＞ 25 kg/m2, preoperative albumin ≤ 35 g/L, diabetes, distance from anus margin ≤ 7 cm, operation time ＞ 270 min, no anal canal, and attention should be paid to them so as to strengthen the prevention and control of the risk factors and prevent the occurrence of anastomotic fistula.关键词
微创/直肠癌/低位前切除术/吻合口愈合Key words
minimally invasive/rectal cancer/low anterior resection operation/anastomotic healing分类
医药卫生
