| 保留左半结肠血管的TME手术对术后便秘的影响 |
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| 引用本文： | 庄依泽,杨梦楠,麻蛟蛟,王田,樊世坤,许佳文,郑春华.保留左半结肠血管的TME手术对术后便秘的影响[J].现代肿瘤医学,2022,0(3):492-495. |
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| 作者姓名： | 庄依泽 杨梦楠 麻蛟蛟 王田 樊世坤 许佳文 郑春华 |
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| 作者单位： | 1.遵义医科大学附属贵航300医院，贵州 贵阳 550009;
1.贵州医科大学附属医院，贵州 贵阳 550004 |
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| 摘 要： | 目的:通过对接受腹腔镜直肠癌根治（total mesorectal excision,TME）手术患者的术后随访，探究保留左半结肠血管对术后便秘及相关并发症的影响。方法:我院普外科2015年05月至2017年05月共收治的93例直肠肠癌根治手术患者进行回顾性分析。结果:对于病人的年龄、性别、BMI、术前CEA、术中出血量、吻合口瘘、术后肿瘤复发率，是否保留左半结肠血管方面无差异（P＞0.05）。低位结扎组在术后肠道功能恢复、吻合口炎症以及术后便秘发生率中明显优于高位结扎组（P＜0.05）；高位结扎组在手术时间上优于低位结扎组（P＜0.05）。结论:保留左半结肠的TME手术可以完成同样的淋巴结清扫，虽然术中用时较长但一定程度上保护了肠道的血运及神经，降低了术后便秘的发生率，值得临床进一步研究与推广。
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| 关 键 词： | 左半结肠动脉 腹腔镜直肠癌根治术 低位结扎 术后便秘 |
Reserve the left half colon vascular in TME surgery affect postoperative constipation |
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| ZHUANG Yize,YANG Mengnan,MA Jiaojiao,WANG Tian,FAN Shikun,XU Jiawen,ZHENG Chunhua.Reserve the left half colon vascular in TME surgery affect postoperative constipation[J].Journal of Modern Oncology,2022,0(3):492-495. |
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| Authors: | ZHUANG Yize YANG Mengnan MA Jiaojiao WANG Tian FAN Shikun XU Jiawen ZHENG Chunhua |
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| Affiliation: | 1.Guiyang Guihang 300 Hospital Affiliated to Zunyi Medical University,Guizhou Guiyang 550009,China;2.Affiliated Hospital of Guizhou Medical University，Guizhou Guiyang 550004,China. |
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| Abstract: | Objective:To through the postoperative follow-up of patients who underwent laparoscopic radical resection of rectal cance(TME)to investigate the effect of ligation of left colonic blood vessels on postoperative constipation.Methods:A retrospective analysis was performed on 93 patients admitted to TME in hospital from May 2015 to May 2017.Results:There were no significant differences in patients'age,gender,operation time,intraoperative blood loss,BMI,preoperative CEA,incidence of anastomosis and postoperative tumor recurrence rate(P>0.05).The low ligation group was significantly better than the high ligation group in postoperative recovery of intestinal function,anastomic inflammation and incidence of postoperative constipation(P<0.05).The high ligation group was superior to the low ligation group in operation time(P<0.05).Conclusion:TME surgery with the left colon preserved can complete the same lymph node dissection,protect the intestinal blood circulation to a certain extent,and reduce the incidence of postoperative constipation,which is worthy of further clinical research and promotion. |
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| Keywords: | left colon artery laparoscopic radical resection of rectal cancer low ligation postoperative constipation |
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