Clinical Observation of Anal Anastomotic Stoma Reinforcement on the Prevention of Anastomotic Fistula after the Laparoscopic Radical Treatment of Middle and Low Rectal Carcinoma
Objective To analyze the clinical effects of anal anastomotic stoma reinforcement on the prevention of anastomotic fistula after the laparoscopic radical treatment of the middle and low rectal carcinoma.Methods Clinical data from 62 patients with middle and low rectal carcinoma who underwent laparoscopic radical treatment between January 2020 and January 2023 were retrospectively analyzed.According to the operation modes,patients were divided into observation group(n=32,anal anastomotic stoma reinforcement)and control group(n=30,without anal anastomotic stoma reinforcement).Compare the surgical time,intraoperative blood loss,postoperative exhaust time,time to get out of bed,time to recover gastrointestinal function,and hospital stay between the two groups;the occurrence of complications;the levels of inflammatory indicators such as white blood cells,monocytes,lymphocytes,neutrophils,and C-reactive protein after surgery;anal function grading at 1 month,3 months,and 6 months after surgery.Results The operation time in the observation group was significantly longer than that of control group(P＜0.05).The hospital stays in the observation group were significantly shorter than those of control group(P＜0.05).There were no significant between-group differences about the postoperative exhaust time,ambulant time and gastrointestinal function recovery time(P＞0.05).The occurrences of anastomotic fistula in the observation group were significantly lower than those of control group(P＜0.05).There were no significant between-group differences about the incidences of pelvic cavity infection,anastomotic stenosis and anastomotic bleeding(P＞0.05).After surgery,the inflammatory factors like white blood cell,monocyte,lymphocyte,neutrophil and C-reactive protein in the observation group were significantly lower than those of control group(P＜0.05).After 1m,3m and 6m of surgery,the anal function grading between groups was not significantly different(P＞0.05).Conclusion During the laparoscopic radical treatment of the middle and low rectal carcinoma,the anal anastomotic stoma reinforcement can reduce the occurrences of anastomotic fistula,induced acute inflammatory response and hospital stays,produce less impact on the anal function recovery.
middle and low rectal carcinomalaparoscopic radical treatment of rectal carcinomaanastomotic fistulaanal function
国家科技期刊平台
NSTL
万方数据
维普
