保留左结肠动脉的腹腔镜直肠癌根治术

发布时间：2018-01-30 21:31

本文关键词： 直肠癌腹腔镜左结肠动脉　出处：《皖南医学院》2017年硕士论文　论文类型：学位论文

【摘要】：目的:探讨腹腔镜下保留左结肠动脉的直肠癌根治术与开腹高位结扎不保留左结肠动脉的直肠癌根治术的临床疗效。方法:回顾性分析从2015年6月至2016年6月,在皖南医学院第一附属医院弋矶山医院胃肠外科接受直肠癌手术治疗的60例患者。按照直肠癌根治术手术方式分为两组,分别为腹腔镜下保留左结肠动脉的直肠癌根治术组和开腹不保留左结肠动脉的直肠癌根治术组。分别收集以下数据,包括性别、年龄、淋巴结清扫数目、吻合口瘘的发生率、住院时间、半年内复发率。数据收集后,采用spss19.0软件进行整理数据和统计分析,规定检验水准α=0.05,P0.05表示有统计学差异,P0.01表示有显著统计学差异。结果:腹腔镜下保留左结肠动脉的直肠癌根治术在淋巴结清扫的数目、吻合口瘘发生率、住院时间、半年内复发率上与开腹高位结扎不保留左结肠动脉的直肠癌根治术无明显统计学差异。结论:腹腔镜下保留左结肠动脉的直肠癌根治术与开腹高位结扎不保留左结肠动脉的直肠癌根治术,可以同样完成彻底的淋巴结清扫,同时为吻合口提供更好的血供,该术式安全可行。
[Abstract]:Objective: to investigate the clinical effect of laparoscopic radical resection of rectal cancer with left colonic artery preservation and open high ligation of rectal cancer without preserving left colon artery. The retrospective analysis was conducted from June 2015 to June 2016. Sixty patients who received surgical treatment for rectal cancer in Gastrointestinal surgery in the first affiliated Hospital of Southern Anhui Medical College were divided into two groups according to the radical operation of rectal cancer. The following data were collected, including sex, age, and lymph node dissection, respectively, in the radical resection group of rectal cancer with left colon artery preserved under laparoscope and the radical resection group of rectal cancer without preserving the left colon artery. The incidence of anastomotic leakage, hospital stay, recurrence rate within half a year. After data collection, the data were sorted and analyzed by spss19.0 software, and the test level was defined as 伪 0. 05. Results: the number of lymph node dissection and the incidence of anastomotic fistula in laparoscopic radical resection of rectal cancer preserved left colonic artery were significantly different (P0.01). Length of stay. There was no significant difference between the recurrence rate in half a year and the radical resection of rectal cancer without left colonic artery ligation. Conclusion:. Laparoscopic radical resection of rectal cancer with left colonic artery preservation and open high ligation of rectal cancer without preserving left colonic artery. Complete lymph node dissection and better blood supply for anastomosis can also be completed. This procedure is safe and feasible.
【学位授予单位】：皖南医学院
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R735.37

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