左半结肠癌合并急性肠梗阻肠减压后腹腔镜辅助Ⅰ期切除吻合术效果

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Abstract Objective To analyze the clinical efficacy and safety of laparoscopic assisted stage I resection and anastomosis in the treatment of left colon cancer complicated with acute ileus. Methods A total of 66 patients with left colon cancer complicated with acute ileus who were admitted to our hospital from June 2015 to November 2021 were selected as the research objects. The control group (33 cases) were treated with stage I resection and anastomosis, and the research group (33 cases) were treated with stage I laparoscopic-assisted resection and anastomosis after decompression. The clinical efficacy of the two groups was analyzed. The indexes related to operation and postoperative effect of the patients were compared, inflammatory factors indexes of patients were detected, complications of patients were recorded, and the quality of life of patients was evaluated. Results After operation, the total effective rate of the study group (100.00%) was significantly higher than that of the control group (84.85%) (P<0.05). The number of lymph node clearance in the study group(12.34±1.34) was significantly higher than that in the control group (11.21±1.08), and the recovery time of gastrointestinal function[(3.40±0.66)d], ambulation time[(41.53±4.30) h]and hospitalization time[ (18.31±3.69) d]were significantly lower than those in the control group (P<0.05). The levels of serum C-reactive protein (CRP)[ (30.95±4.00) mg/L]and tumor necrosis factor-α (TNF-α)[ (19.18±1.90)pg/ml]in the study group were significantly lower than those in the control group one week after operation (P<0.05). The total incidence of complications in the study group (9.09%) was significantly lower than that in the control group (30.30%) (P<0.05). The scores of physical function, psychological function, material life and social function in the study group were significantly higher than those in the control group (P< 0.05). Conclusions Laparoscopic stage I resection and anastomosis after intestinal decompression can effectively improve the clinical efficacy of patients with left colon cancer complicated with acute ileus, and can promote gastrointestinal function recovery, shorten the length of hospital stay, and improve the quality of life, with high safety, which is worthy of clinical application.

Key words： laparoscope stage I excision and anastomosis colon cancer of the left side intestinal obstruction quality of life

Received: 30 August 2022

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	DA Buxilite
	ZHENG Hao
	HAN Chengxin

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DA Buxilite,ZHENG Hao,HAN Chengxin. Clinical study and safety analysis of laparoscopic assisted stage I resection and anastomosis in treatment of left colon cancer complicated with acute ileus after intestinal decompression[J]. Med. J. Chin. Peop. Armed Poli. Forc., 2023, 34(1): 10-13.

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http://journal08.magtechjournal.com/Jwk_wjyx/EN/ OR http://journal08.magtechjournal.com/Jwk_wjyx/EN/Y2023/V34/I1/10

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