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目的比较单双极钩形钳与国产超能剪在完全腹腔镜下乙状结肠/直肠癌根治术中的临床应用效果。方法在完全腹腔镜下行乙状结肠癌/直肠癌根治术患者126例,其中采用单双极钩形钳进行手术者60例(钩形钳组),采用国产超能剪进行手术66例(超能剪组)。对比两组手术时间、术中出血、术后肛门排气时间及并发症情况。结果两组患者均顺利完成手术。超能剪组手术时间、术中出血量均明显少于钩形钳组(P<0.05);两组术后出血、吻合口漏、术后感染等并发症发生率及术后肛门排气时间比较,差异均无统计学意义(P均>0.05)。结论单双极钩形钳与国产超能剪应用于完全腹腔镜下乙状结肠/直肠癌根治术均顺利完成手术,达到治疗效果,但国产超能剪在功能上优于单双极钩形钳。
Objective To compare the clinical effects of single-and double-pole hook pliers with domestic super-shearing in complete laparoscopic radical resection of sigmoid colon / rectal cancer. Methods Totally 126 cases of sigmoid colon / rectal cancer underwent laparoscopic radical resection. Among them, 60 cases were operated with single-and double-pole hook clamp (hook clamp group) and 66 cases group). The operation time, intraoperative bleeding, postoperative anal exhaust time and complications were compared. Results Both groups completed the operation smoothly. The operative time and intraoperative blood loss were significantly less than those in the hook clamp group (P <0.05). The postoperative bleeding, anastomotic leakage, postoperative infection and other complication rates and postoperative anal exhaust time There was no significant difference between the two groups (P> 0.05). Conclusions Single bipolar hook pliers and domestic super-shears can be successfully applied to complete laparoscopic radical resection of sigmoid colon / rectal cancer to achieve the therapeutic effect. However, the domestic super-sheared shears are superior in function to single-and double-pole hook pliers.