持续性闭式吸引技术在腹腔镜中低位直肠癌手术烟雾消除中的临床应用

发布时间：2018-11-25 22:11

【摘要】：探讨持续性闭式吸引技术在腹腔镜中低位直肠癌手术过程中能量器械使用而产生的烟雾消除效果。选取2015年1月~2017年6月笔者所在医院收治的100例中低位直肠癌患者,根据入院顺序分为对照组和研究组各50例,两组均实施腹腔镜直肠癌根治术,对照组经戳卡侧孔排烟法,研究组在术中应用持续性闭式引流技术,比较两组患者手术疗效及术后近期并发症情况。手术疗效的观察指标中,发现研究组与对照组相比术中出血量少、手术时间短、手术耗材成本低、术后住院时间短,差异有统计学意义(P0.05)。术后近期并发症指标观察中,发现研究组术后出血或术后吻合口瘘发生率明显少于对照组,差异有统计学意义(P0.05)。持续性闭式吸引技术能快速消除腹腔镜中低位直肠癌手术过程中产生的烟雾,不会影响腹腔内恒定的气腹压,保持清晰的手术视野,从而确保手术能安全、顺利地进行,还能减轻高额微创手术费用的负担,值得临床推广应用。
[Abstract]:To investigate the effect of continuous closed suction technique in eliminating smoke from the use of energy instruments during laparoscopic surgery for middle and low rectal cancer. From January 2015 to June 2017, 100 patients with middle and low rectal cancer in our hospital were divided into two groups: control group (n = 50) and study group (n = 50). Laparoscopic radical resection of rectal cancer was performed in both groups. The study group used the technique of continuous closed drainage during operation to compare the curative effect and postoperative complications of the two groups. Compared with the control group, the study group had less intraoperative bleeding, shorter operation time, lower cost of operation consumables and shorter postoperative hospital stay, the difference was statistically significant (P0.05). The incidence of postoperative bleeding or anastomotic fistula in the study group was significantly lower than that in the control group (P0.05). The continuous closed suction technique can quickly eliminate the smoke generated during laparoscopic surgery for middle and low rectal cancer, and will not affect the constant pneumoperitoneal pressure in the abdominal cavity, and maintain a clear surgical field of vision, thus ensuring that the operation can be carried out safely and smoothly. It can also reduce the burden of high cost of minimally invasive surgery and is worthy of clinical application.
【作者单位】：大连大学附属新华医院肛肠外科;
【基金】：2015年大连市卫生局课题项目(2015-110)
【分类号】：R735.37

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