Study on effect of pelvic floor peritoneal reconstruction on minimally invasive low anterior resection in rectal cancer patients
Objective To explore the effect of pelvic floor peritoneal reconstruction on minimally invasive low anterior resection(MILAR)in rectal cancer patients.Methods 128 patients with rectal cancer were selected.The patients were randomly divided into an observation group and a control group,with 64 patients in each group.The control group was treated with conventional surgical methods,while the observation group underwent MILAR surgery for pelvic floor peritoneal reconstruction based on the control group.The level of postoperative inflammatory indexes,the occurrence of complications and the rate of secondary surgeries were compared between the two groups of patients.Results There were no significant differences in the levels of C-reactive protein and procalcitonin on the 1st,3rd and 5th day after surgery between the two groups(P>0.05).The serum C-reactive protein level on the 3rd day after surgery was higher than that on the 1st and 5th day after surgery in both groups,and the serum C-reactive protein level on the 5th day after surgery was lower than that on the 1st day after surgery.There was statistical significance(P<0.05).The levels of procalcitonin on the 5th day after surgery in both groups were lower than those on the 1st and 3rd day after surgery,and there was statistical significance(P<0.05).The incidence of complications in the observation group was 6.25%,which was significantly lower than the control group's 18.75%,and there was statistical significance(P<0.05).There were no secondary surgeries in the observation group,while there were 6 cases in the control group who underwent secondary surgeries,and the difference in the rate of secondary surgeries between the two groups was statistically significant(P<0.05).Conclusion Pelvic floor peritoneal reconstruction plays an indispensable role in MILAR surgery,which helps to improve surgical outcomes,reduce the risk of complications,and improve patients'quality of life.The continuous improvement of this surgical technique will further promote the application of MILAR surgery in the treatment of rectal cancer,thus providing patients with better treatment options.
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