本文關鍵詞： 直腸癌 腹腔鏡 左結腸動脈　出處：《皖南醫(yī)學院》2017年碩士論文　論文類型：學位論文

【摘要】：目的:探討腹腔鏡下保留左結腸動脈的直腸癌根治術與開腹高位結扎不保留左結腸動脈的直腸癌根治術的臨床療效。方法:回顧性分析從2015年6月至2016年6月,在皖南醫(yī)學院第一附屬醫(yī)院弋磯山醫(yī)院胃腸外科接受直腸癌手術治療的60例患者。按照直腸癌根治術手術方式分為兩組,分別為腹腔鏡下保留左結腸動脈的直腸癌根治術組和開腹不保留左結腸動脈的直腸癌根治術組。分別收集以下數(shù)據(jù),包括性別、年齡、淋巴結清掃數(shù)目、吻合口瘺的發(fā)生率、住院時間、半年內(nèi)復發(fā)率。數(shù)據(jù)收集后,采用spss19.0軟件進行整理數(shù)據(jù)和統(tǒng)計分析,規(guī)定檢驗水準α=0.05,P0.05表示有統(tǒng)計學差異,P0.01表示有顯著統(tǒng)計學差異。結果:腹腔鏡下保留左結腸動脈的直腸癌根治術在淋巴結清掃的數(shù)目、吻合口瘺發(fā)生率、住院時間、半年內(nèi)復發(fā)率上與開腹高位結扎不保留左結腸動脈的直腸癌根治術無明顯統(tǒng)計學差異。結論:腹腔鏡下保留左結腸動脈的直腸癌根治術與開腹高位結扎不保留左結腸動脈的直腸癌根治術,可以同樣完成徹底的淋巴結清掃,同時為吻合口提供更好的血供,該術式安全可行。
[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 偽 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.
【學位授予單位】：皖南醫(yī)學院
【學位級別】：碩士
【學位授予年份】：2017
【分類號】：R735.37

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