Clinical value of left colic artery preservation in laparoscopic radical resection of rectal cancer
To investigate the clinical value of left colic artery preservation in laparoscopic radical resection of rectal cancer.Methods The clinical data of 93 patients with rectal cancer who underwent laparoscopic radical resection of rectal cancer in our hospital were retrospectively analyzed,and 48 cases with intraoperative preservation of the left colonic artery during surgery were included in the preserva-tion group,and 45 patients without intraoperative preservation of the left colonic artery during surgery were included in the non-preservation group.The perioperative indexes,occurrence of complications,and 1-year,2-year,3-year survival rates of patients after operation in the two groups were compared.Results Compared with the non-preservation group,the time to the first anal exhaust,the recovery time of bowel sounds and first feeding time of patients were shortened,the intraoperative blood loss was decreased,and the operation time was prolonged,with statistically significant differences(P<0.05).There was no statistically significant difference in the number of lymph node dissection of patients between the two groups(P>0.05).There was no statistically significant difference in the incidence of postoperative complications or 1-year,2-year,3-year survival rates of patients after operation between the two groups(P>0.05).Conclusion Laparoscopic radical resection of rectal cancer with left colic artery preservation can reduce the intraoperative blood loss,promote the recovery of gastrointestinal function after surgery,without the increase of complications,which is more in line with the concept of human anatomical structure.
radical resection of rectal cancerleft colic arterylaparoscopeinferior mesenteric artery
万方数据
维普
