不同结肠吻合方法在腹腔镜结直肠癌根治术中的临床疗效比较。
Comparison of clinical efficacy of different colon anastomosis methods in laparoscopic radical resection of colorectal cancer.
机构信息
Department of General Surgery, Xuyi People's Hospital, Huai'an 211700, Jiangsu.
Department of Gastrointestinal Surgery The Affiliated Huai'an Hospital of Xuzhou Medical University and The Second People's Hospital of Huai'an, Huai'an 223002, China.
出版信息
Cir Cir. 2024;92(3):314-323. doi: 10.24875/CIRU.23000602.
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.
目的
本研究旨在探讨腹腔镜结直肠癌（CRC）根治术中重叠吻合与端侧吻合（FEEA）的临床效果。
方法
回顾性收集行腹腔镜结直肠癌根治术侧侧吻合患者的临床资料，根据吻合方式分为重叠组和 FEEA 组。
结果
重叠组的手术时间、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），两组差异无统计学意义（p>0.05）。
结论
重叠吻合可缩短手术时间，加快肠道功能恢复，不增加术后并发症发生率，且不会影响术后短期内患者的生活质量和生存。
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