Comparison of Efficacy and Prognosis of Fascial Anatomy-Guided and Membrane Anatomy-Guided Laparo-scopic Radical Resection in Treatment of Rectal Cancer
Objective To compare the clinical efficacy and prognosis of fascial anatomy-guided and mem-brane anatomy-guided laparoscopic radical resection in the treatment of rectal cancer.Methods The clin-ical data of 82 patients with rectal cancer who underwent laparoscopic radical resection in our hospital from August 2020 to September 2022 were retrospectively analyzed,and they were divided into membrane anat-omy-guided group(45 cases)and fascial anatomy-guided group(37 cases)according to different surgical methods.The surgical indexes,quality of life scores,complications and follow-up results were compared between the two groups.Results The operation time,hospital stay and drainage tube removal time in the membrane anatomy-guided group were longer than those in the fascial anatomy-guided group,and the number of lymph nodes removed in the membrane anatomy-guided group was less than that in the fascial anatomy-guided group(P<0.05).There was no significant difference in intraoperative blood loss,cathe-ter removal time,anal exhaust time and recovery feeding time between the two groups(P>0.05).After operation,the scores of quality of life in the membrane anatomy-guided group were lower than those in the fascial anatomy-guided group(P<0.05).There was no significant difference in the incidence of postoper-ative urinary dysfunction and complications between the two groups(P>0.05).Conclusion Fascial a-natomy-guided laparoscopic radical resection for rectal cancer has obvious advantages over the membrane a-natomy-guided laparoscopic radical resection,which can effectively shorten the operation time,hospital stay and drainage tube removal time.It can help promote the early recovery of patients,reduce their economic burden,so patients have better postoperative quality of life and there is less impact on urinary function.Fascial anatomy-guided laparoscopic radical resection for rectal cancer plays an important role in ensuring the normal postoperative urinary function,which is worth promoting and application.
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