Comparison of Perioperative Indexes between Lateral Approach and Intermediate Approach Laparoscopic Surgery for Colorectal Cancer
Objective:To observe the difference of perioperative indexes between lateral approach and intermediate approach laparoscopic surgery for colorectal cancer.Method:A total of 122 patients with colorectal cancer admitted to Wuxi Huishan District Third People's Hospital from December 2018 to December 2022 were selected and divided into observation group and control group by random number table method,with 61 cases in each group.Laparoscopic radical resection of colorectal cancer was performed in both groups.Intermediate approach was selected in the observation group and lateral approach was selected in the control group.Operation time,intraoperative blood loss,number of lymph node dissection,anal exhaust time,bowel sound recovery time and eating time were compared between the two groups.The serum levels of carbohydrate antigen 19-9(CA19-9),carbohydrate antigen 242(CA242)and carcinoembryonic antigen(CEA)were compared between the two groups before and after operation.The incidence of postoperative complications was compared between the two groups.Result:Compared with the control group,the surgical time,anal exhaust time,bowel sound recovery time,eating time were lower,intraoperative blood loss was less,and lymph node dissection was more in the observation group,the differences were statistically significant(P<0.05).After surgery,the levels of serum CA19-9,CA242 and CEA in the two groups were lower than those before operation,with statistical significance(P<0.05),but there were no statistical significances in the levels of serum CA19-9,CA242 and CEA between the two groups after surgery(P>0.05).The incidence of postoperative complications in the observation group was 8.20%(5/61),including 3 cases of incision infection,1 case of intestinal obstruction,and 1 case of anastomotic bleeding.The incidence of postoperative complications in the control group was 9.84%(6/61),including 2 cases of incision infection,1 case of urinary tract infection,2 cases of intestinal obstruction,and 1 case of anastomotic fistula,there was no statistically significant difference in the incidence of postoperative complications between the two groups(P>0.05).Conclusion:In the treatment of patients with colorectal cancer,lateral approach or intermediate approach is equally effective in controlling the level of serum tumor markers,while the intermediate approach is beneficial to shorten the operation time,reduce the intraoperative blood loss,and promote postoperative recovery.
Colorectal cancerLaparoscopic surgerySurgical approachPerioperative period
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