Clinical Value Analysis of Intestinal Stent Implantation Combined with Laparoscopic Surgery in the Treatment of Obstructive Left Colon Cancer
Objective To analyze the value of intestinal stent implantation combined with laparoscopic surgery in the treatment of obstructive left colon cancer.Methods A total of 100 patients with obstructive left colon cancer in Shang-hai Yangsi Hospital from August 2018 to April 2023 were randomly selected as the study objects.A randomized con-trolled trial design was adopted,and the patients were divided into two groups by computer random number genera-tion.The observation group(n=50)received intestinal stent implantation combined with laparoscopic surgery,and the control group(n=50)received traditional treatment.The operation time,blood loss,postoperative feeding time,hospital stay,incisional infection rate,abdominal infection rate,serum tumor marker level and the success rate of stage Ⅰ anas-tomosis were compared between the two groups.Results There was no significant difference in operation time between the two groups[(183.19±22.31)min vs(182.46±32.74)min](P>0.05).The intraoperative blood loss in the observation group was(67.75±23.13)mL,which was lower than(211.36±11.81)mL in the control group,and the difference was statistically significant(t=39.101,P<0.05).The postoperative hospitalization time and postoperative feeding time of the observation group were shorter than those of the control group,and the differences were statistically significant(both P<0.05).After operation,alpha-fetoprotein and carcinoembryonic antigen in observation group were lower than those in control group,and the differences were statistically significant(both P<0.05).The successful rate of anastomo-sis in the observation group was higher than that in the control group,and the total incidence of infection was lower than that in the control group,the differences were statistically significant(both P<0.05).Conclusion Intestinal stent implantation combined with laparoscopic surgery is ideal for patients with obstructive left colon cancer,and the post-operative recovery is faster and the incidence of infection is lower,which can effectively improve the success rate of one-stage anastomosis.
Intestinal stent placementLaparoscopic surgeryObstructive left colon cancer