改良培根术与双吻合器术治疗直肠癌的对比分析
Comparative analysis of modified Bacon operation and double stapler operation in the treatment of rectal cancer.
作者信息
Yang Jianyong, Tian Lijun, Niu Liyun, Zhai Chunbao
机构信息
Department of Colorectal & Anal Surgery, Shanxi Provincial People's Hospital Taiyuan, Shanxi, China.
出版信息
Am J Transl Res. 2021 Jun 15;13(6):7235-7241. eCollection 2021.
OBJECTIVE
To investigate the efficacy of modified Bacon operation and double stapler operation in treating lower rectal cancer.
METHODS
A total of 73 patients with lower rectal cancer admitted to the general surgery department of our hospital from March 2016 to March 2017 were selected for the study. According to different operation methods, the patients were divided into an observation group and a control group. Modified Bacon operation was used in the observation group (39 cases), while double stapler operation was adopted for the control group (34 cases). The intraoperative and postoperative conditions and 3-year survival rates were observed.
RESULTS
The bleeding volume and anal exhaust time in the observation group were better than those in the control group, the difference being statistically significant (<0.05). No significant difference was found between the two groups in terms of the operation time, abdominal drainage volume, anal extubation time, or the number of lymph node dissection (>0.05). The anal function of the two groups was evaluated one month and six months after operation respectively, and no significant difference was found between the function of the two groups (>0.05). There was no significant difference in postoperative complications, local recurrence, and distant metastasis between the two groups (>0.05). The 3-year survival rate was 89.74% in the observation group and 91.18% in the control group. Our analysis found no significant difference in the cumulative survival rates between the two groups (>0.05).
CONCLUSION
Modified Bacon operation and double stapler operation are effective treatment for lower rectal cancer, and the survival benefit of patients is obvious. The methods are worthy of clinical promotion.
目的
探讨改良培根术与双吻合器术治疗低位直肠癌的疗效。
方法
选取2016年3月至2017年3月我院普通外科收治的73例低位直肠癌患者进行研究。根据手术方式不同，将患者分为观察组和对照组。观察组39例采用改良培根术，对照组34例采用双吻合器术。观察术中及术后情况及3年生存率。
结果
观察组术中出血量及肛门排气时间优于对照组，差异有统计学意义（<0.05）。两组手术时间、腹腔引流量、拔管时间及淋巴结清扫数目比较，差异无统计学意义（>0.05）。分别于术后1个月和6个月对两组肛门功能进行评估，两组功能比较差异无统计学意义（>0.05）。两组术后并发症、局部复发及远处转移情况比较，差异无统计学意义（>0.05）。观察组3年生存率为89.74%，对照组为91.18%。分析发现两组累积生存率差异无统计学意义（>0.05）。
结论
改良培根术与双吻合器术治疗低位直肠癌疗效确切，患者生存获益明显，值得临床推广。
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