中国肛肠病杂志2025，Vol.45Issue(1)：23-25,3.
腹腔镜直肠癌根治术患者正中切口与传统右下腹新切口行预防性回肠造口的疗效及安全性比较
Comparison of Efficacy and Safety of Prophylactic Ileostomy Through Median Incision and Traditional Right Lower Abdominal New Incision in Patients Undergoing Laparoscopic Radical Resection of Rectal Cancer
常瑶瑶1
作者信息
- 1. 河南科技大学第一附属医院手术部(河南洛阳 471000)
- 折叠
摘要
Abstract
Objective To compare the efficacy and safety of prophylactic ileostomy through median inci-sion and traditional right lower abdominal new incision in patients undergoing laparoscopic radical resection of rectal cancer.Methods Total 82 patients who underwent laparoscopic radical resection of rectal canc-er in our hospital from August 2020 to August 2023 were randomly divided into the traditional right lower abdominal new incision group and the median incision group according to the surgical method,with 41 ca-ses in each group.The traditional right lower abdominal new incision group was treated with laparoscopic radical resection of rectal cancer with traditional right lower abdominal new incision,and the median inci-sion group was treated with laparoscopic radical resection of rectal cancer with median incision.The opera-tion time of stage Ⅰ,hospital stay,operation time of stage Ⅱ,intraoperative blood loss and postoperative complications were compared between the two groups.Results There was no significant difference in the operation time of stage Ⅰ and hospital stay between the two groups(P＞0.05).The operation time of stage Ⅱ in the median incision group was shorter than that of the traditional right lower abdominal new incision group(P＜0.05),and the blood loss was less than that of the traditional right lower abdominal new incision group(P＜0.05).There was no significant difference in the incidence of postoperative com-plications between the two groups(P＞0.05).Conclusion The prophylactic ileostomy through median incision in patients undergoing laparoscopic radical resection of rectal cancer is effective and safe,and the median incision can better shorten the operation time of stage Ⅱ.关键词
直肠癌/根治术/腹腔镜/正中切口/传统右下腹新切口Key words
Colorectal cancer/Radical resection/Laparoscopy/Median incision/Traditional right lower abdominal new incision引用本文复制引用
常瑶瑶..腹腔镜直肠癌根治术患者正中切口与传统右下腹新切口行预防性回肠造口的疗效及安全性比较[J].中国肛肠病杂志,2025,45(1):23-25,3.
