Efficacy of Laparoscopic Miles Surgery and Laparoscopic Resection with Transanal Anastomosis in the Treatment of Ultra-low Rectal Cancer
Objective:To compare the efficacy of laparoscopic Miles surgery and laparoscopic resection with transanal anastomosis in the treatment of ultra-low rectal cancer.Method:Eighty patients with ultra-low rectal cancer admitted to the Fourth Affiliated Hospital of Gansu University of Traditional Chinese Medicine from June 2018 to December 2021 were retrospectively selected.The patients were divided into control group(40 cases)and observation group(40 cases)according to the different operation methods.The control group was given laparoscopic Miles surgery,and the observation group was given laparoscopic resection transanal anastomosis.Gastrointestinal function recovery time,analgesic time,perioperative indexes,complications,recovery condition and defecation satisfaction were compared between the two groups.Result:The recovery time of gastrointestinal function and analgesic time in the observation group were significantly shorter than those in the control group,and the differences were statistically significant(P<0.05).The operation time of the observation group was shorter than that of the control group,and the intraoperative blood loss volume and postoperative drainage volume were significantly less than those of the control group,and the differences were statistically significant(P<0.05).There was no significant difference in the incidence of postoperative complications between the two groups(P>0.05).The postoperative exhaust time and hospital stay in the observation group were significantly shorter than those in the control group,and the differences were statistically significant(P<0.05).The satisfaction rate of defecation in the observation group was significantly better than that in the control group,and the difference was statistically significant(P<0.05).Conclusion:Laparoscopic resection with transanal anastomosis has less trauma,faster recovery,no serious complications,and significantly better postoperative defecation function.
Ultra low rectal cancerLaparoscopic Miles surgeryTransanal anastomosis
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