保留左结肠动脉和直肠上动脉的上段直肠癌手术疗效分析

外科研究与新技术 ›› 2014, Vol. 3 ›› Issue (3): 177-179.

保留左结肠动脉和直肠上动脉的上段直肠癌手术疗效分析

崔念磊

河南濮阳市红十字医院外科

收稿日期:2014-09-24 修回日期:2014-09-29 出版日期:2014-09-28 发布日期:2014-12-04
通讯作者: 崔念磊 E-mail:cnl_medicine@yeah.net

Curative effect analysis in preservation of left colic artery and superior rectal artery for the treatment of upper rectum carcinoma

Received:2014-09-24 Revised:2014-09-29 Online:2014-09-28 Published:2014-12-04

摘要/Abstract

摘要： [摘要] 目的探讨保留左结肠动脉和直肠上动脉的上段直肠癌手术的可行性及益处，并与传统术式比较。方法纳入2011年1月—2013年6月我院普通外科拟行腹腔镜直肠癌根治术的上段直肠癌患者59例，分为试验组（n=30）及对照组（n=29）。试验组行保留左结肠动脉和直肠上动脉的经腹直肠切除吻合术，对照组行传统术式。比较两组手术时间、淋巴结清扫数目、出血量、吻合口愈合情况。结果试验组患者手术时间长于对照组，出血量大于对照组，差异有统计学意义（P＜0.05）；淋巴结清扫数目相比差异无统计学意义（P＞0.05）；试验组患者无患者发生吻合口瘘，对照组有2例发生。结论上段直肠癌患者行经腹直肠切除吻合术可保留左结肠动脉和直肠上动脉以降低吻合口瘘发生几率。

Abstract: 【Abstract】 Objective Discussed the feasibility and benefits of left colic artery and superior rectal artery for the treatment of upper rectum carcinoma,and compared with conventional surgery. Methods From January 2011-June 2013,59 patiens with upper rectum carcinoma in general surgery were divided into experimental group(n=30) and control group(n=29).Experimental group keep left colic artery and superior rectal artery, control group conventional surgery,compared of operation time,number of lymph node cleaning, blood loss, anastomotic healing between two groups. Results Experimental group operating time is longer than the control group,patients with blood loss is greater than the control group,the difference was statistically significant（P＜0.05）;Number of lymph node cleaning had no statistical significance（P＞0.05）; Experimental group patients without anastomotic fistula patients,2 case of control group occurred. Conclusion Preservation of left colic artery and superior rectal artery for the treatment of upper rectum carcinoma is good for patients,and could reduce the risk of anastomotic fistula.

崔念磊. 保留左结肠动脉和直肠上动脉的上段直肠癌手术疗效分析[J]. 外科研究与新技术, 2014, 3(3): 177-179.