Application Value of Laparoscopy and Open Surgery in Extraperitoneal Stomy Combined with Pelvic Floor Peritoneal Reconstruction in Patients with Rectal Cancer
Application Value of Laparoscopy and Open Surgery in Extraperitoneal Stomy Combined with Pelvic Floor Peritoneal Reconstruction in Patients with Rectal Cancer
Objective To analyze the value of laparoscopy and open surgery in extraperitoneal stomy combined with pelvic floor peritoneal reconstruction in patients with rectal cancer.Methods 58 patients with low rectal cancer admit-ted to the Department of Surgery of Jiexi County People's Hospital in Jieyang City,Guangdong Province from January 2021 to December 2022 were selected as the research subjects.They were divided into an open group and a laparo-scopic group based on different surgical methods,with 29 cases in each group.The open group was treated with ab-dominoperineal resection(APR),while the laparoscopic group was treated with Laparoscopic abdominoperineal resec-tion(LAPR).The condition of patients in each group was compared.Results The operation time,hospital stay and catheter removal time in laparoscopic group were shorter than those in open group,the blood loss was less than that in open group,and the number of lymph nodes dissection was more than that in open group,and the differences were sta-tistically significant(all P<0.05).The incidence of perineal and stomal complications in the laparoscopic group(6.90%,3.45%)was lower than that in the open group(27.59%,20.69%),and the difference was statistically signifi-cant(χ2=4.350,4.061,both P<0.05).Conclusion Peritoneal peritoneostomy combined with pelvic floor peritoneal re-construction has less damage,less intraoperative blood loss,shorter hospital stay,and lower incision split and infec-tion rate,which is more valuable than open surgery.
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