Effect of Laparoscopic Transsphincteric Intersphincteric Resection Versus Dixon's Procedure in the Treatment of Ultra-low Rectal Cancer on Patients'Postoperative Anal Function Recovery
Objective:To investigate the effect of laparoscopic transsphincteric intersphincteric resection versus anterior resection of the rectum(Dixon)in the treatment of ultralow rectal cancer on the patients'postoperative recovery of anal function.Method:60 cases of ultra-low rectal cancer patients who underwent surgical treatment in Jiangling County People's Hospital from March 2021 to March 2022 were selected as the study subjects,and they were divided into the control group and the laparoscopic group according to the method of random number table,with 30 cases in each group.Patients in the control group were treated with Dixon's operation,and patients in the laparoscopic group were treated with laparoscopic transsphincteric resection.Surgery-related indexes,anorectal kinetic indexes,anal function,occurrence of postoperative complications and prognosis were compared between the two groups.Result:Patients in the laparoscopic group had less surgical blood loss than those in the control group,and the postoperative hospitalization time and the time to the first anal evacuation were shorter than those in the control group,with statistically significant differences(P<0.05).1 month after surgery,the anorectal kinetic indexes of patients in the laparoscopic group were lower than those of the control group,and the difference was statistically significant(P<0.05).At the time of discharge,4 months postoperatively,and 8 months postoperatively,the anal function scores of the patients in the laparoscopic group were lower than those of the control group,and the difference was statistically significant(P<0.05).Conclusion:Laparoscopic transsphincteric intersphincteric resection pairs can reduce postoperative bleeding,shorten postoperative hospitalization and time to first anal voiding,and promote recovery of postoperative anal function.
Laparoscopic transsphincterectomyAnterior resection of rectal cancerUltra low rectal cancerRecovery of anal function
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