腹腔镜大肠癌根治术中不同结肠吻合方法的临床疗效比较

Weimin Sun, Jie Zhang
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引用次数: 0

摘要

研究目的本研究旨在探讨腹腔镜大肠癌(CRC)根治性切除术中重叠吻合和功能性端端吻合(FEEA)的临床效果:回顾性收集了180例接受腹腔镜结直肠癌根治性切除术并行侧对侧吻合术的患者的临床资料,根据吻合方式的不同将患者分为重叠吻合组和功能性端对端吻合组:Overlap组的手术时间、吻合时间、术后住院时间、术后进食时间和术后排气时间均短于FEEA组(P<0.05)。FEEA组术后并发症总发生率为14.4%(13/90),重叠组为0.7%(6/90),两组间无显著差异(P > 0.05):结论:重叠吻合术可缩短手术时间,加快肠道功能的恢复,且不会增加术后并发症的发生率,术后短期内也不会影响患者的生活质量和生存期。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Comparison of clinical efficacy of different colon anastomosis methods in laparoscopic radical resection of colorectal cancer.

Objective: The objective of this study was to investigate the clinical effect of overlap anastomosis and functional end-to-end anastomosis (FEEA) in laparoscopic radical resection of colorectal cancer (CRC).

Methods: The clinical data of 180 patients who underwent laparoscopic radical resection of CRC and side-to-side anastomosis were retrospectively collected; the patients were divided into the Overlap group and FEEA group, according to the anastomosis method that was used to treat them.

Results: The Overlap group had a shorter operation time, anastomosis time, post-operative hospital stay, post-operative feeding time, and post-operative exhaust time than the FEEA group (p < 0.05). The total incidence of post-operative complications was 14.4% (13/90) in the FEEA group and 0.7% (6/90) in the Overlap group, and there was no significant difference between the two groups (p > 0.05).

Conclusions: Overlapping anastomosis can shorten the operation time and accelerate the recovery of intestinal function without increasing the incidence of post-operative complications, and it will not affect the quality of life and survival of patients in the short term after surgery.

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