论文部分内容阅读
目的:比较腹腔镜结直肠癌根治术保留直肠上动脉与传统高位离断肠系膜下动脉的效果。方法:对焦作煤业(集团)有限责任公司中央医院2016年7月至2019年7月100例结直肠癌患者的临床资料进行回顾性分析,所有患者均接受腹腔镜根治术,根据手术方法分为A组(47例)和B组(53例),A组保留直肠上动脉,B组传统高位离断肠系膜下动脉。比较两组手术情况、术后胃肠功能恢复情况、并发症、转移及复发情况。结果:A组手术时间长于B组(n P0.05);A组术后排气恢复时间、排便恢复时间短于B组(n P0.05)。n 结论:保留直肠上动脉与传统高位离断肠系膜下动脉在腔镜结直肠癌根治术中的疗效相当,但保留直肠上动脉能缩短术后胃肠功能恢复时间,减少吻合口相关并发症。“,”Objective:To compare the curative effect of superior rectal artery (SRA) preservation and traditional high-position dissection of inferior mesenteric artery (IMA) on patients undergoing laparoscopic radical resection of colorectal cancer.Methods:The clinical data of 100 patients with colorectal cancer in Central Hospital of Jiaozuo Coal Industry Group from July 2016 to July 2019 were retrospectively analyzed. All underwent laparoscopic radical resection. According to different surgical methods, they were divided into group A (n n=47) and group B (n n=53). Group A underwent SRA preservation, while group B underwent traditional high-position IMA dissection. The surgical situations, postoperative recovery of gastrointestinal function, complications, metastasis and recurrence were compared between the two groups.n Results:The operation time in group A was longer than that in group B (n P0.05). After surgery, recovery time of exhaust and defecation in group A were shorter than those in group B (n P0.05).n Conclusions:The curative effect of SRA preservation and traditional high-position IMA dissection is comparable in laparoscopic radical resection of colorectal cancer.However, the former can shorten postoperative recovery time of gastrointestinal function, and reduceanastomosis related complications.