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中华普外科手术学杂志(电子版) ›› 2023, Vol. 17 ›› Issue (01) : 69 -72. doi: 10.3877/cma.j.issn.1674-3946.2023.01.017

论著

NOSES左半结肠癌根治术功能性端端吻合与Overlap吻合对比研究
甄勇1,(), 张超1, 张尊庶1, 孙弢1   
  1. 1. 239000 安徽滁州,安徽医科大学附属滁州医院(滁州市第一人民医院)普外科
  • 收稿日期:2022-05-06 出版日期:2023-02-26
  • 通信作者: 甄勇

NOSES A comparative study of functional end - end anastomosis and Overlap in radical left colon cancer

Yong Zhen1,(), Chao Zhang1, Zunshu Zhang1, Tao Sun1   

  1. 1. Department of General Surgery,Chuzhou Hospital affiliated to Anhui Medical University(The First People's Hospital of Chuzhou),Chuzhou Anhui Province 239000,China
  • Received:2022-05-06 Published:2023-02-26
  • Corresponding author: Yong Zhen
  • Supported by:
    Scientific Research Project of Science and Technology Bureau of Chuzhou Anhui Province(2020ZN007)
引用本文:

甄勇, 张超, 张尊庶, 孙弢. NOSES左半结肠癌根治术功能性端端吻合与Overlap吻合对比研究[J/OL]. 中华普外科手术学杂志(电子版), 2023, 17(01): 69-72.

Yong Zhen, Chao Zhang, Zunshu Zhang, Tao Sun. NOSES A comparative study of functional end - end anastomosis and Overlap in radical left colon cancer[J/OL]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2023, 17(01): 69-72.

目的

对比功能性端端吻合(FEEA)与Overlap吻合在经自然腔道取标本手术(NOSES)左半结肠癌根治术中的临床效果。

方法

回顾性分析2016年1月至2021年1月行NOSES左半结肠癌根治术的78例患者临床资料,根据术中消化道重建方式的不同分为两组,38例行Overlap吻合纳入Overlap组,40例行FEEA纳入FEEA组。采用软件SPSS22.0分析临床数据,术后并发症等计数资料用[n(%)]表示,组间比较采用χ2检验;围手术期指标和术后血清营养指标等计量资料用(

xˉ
±s)表示,组间比较采用t检验;P<0.05为差异有统计学意义。

结果

两组患者均顺利完成NOSES左半结肠癌根治术。Overlap组手术时间、吻合时间显著长于FEEA组,术后首次排气时间、住院时间及住院费用显著优于FEEA组(P<0.05);两组患者术前、术后7 d血清营养指标比较,差异无统计学意义(P>0.05);Overlap组患者术后3个月血清血清白蛋白(ALB)、血红蛋白(Hb)、血清总蛋白(TP)显著高于FEEA组(P<0.05);两组患者术后并发症总发生率比较,差异无统计学意义(P>0.05)。

结论

NOSES左半结肠癌根治术行Overlap吻合,可促进患者术后肠道功能恢复,改善长期营养状态,对促进患者术后康复及减少住院费用有重要意义。

Objective

Comparison of clinical effect of functional end-to-end anastomosis and Overlap in radical resection of left heminoses colon cancer.

Methods

Clinical data of 78 patients who undergo radical NOSES left half colon cancer from January 2016 to January 2021 are retrospectively analyzed,and divided into two groups according to different ways of intraoperative digestive tract reconstruction. 38 cases of Overlap are included in Overlap group,and 40 cases of FEEA are included in FEEA group. SPSS 22.0 software was used to analyze clinical data. Postoperative complications and other statistical data were represented by[n(%)]. χ2 test was used for comparison between groups. Measurement data such as perioperative indexes and postoperative serum nutritional indexes were represented by(

xˉ
±s),and t test was used for comparison between groups. P<0.05 for the difference was statistically significant.

Results

All patients in both groups successfully completed radical NOSES left colon cancer. Operation time and anastomosis time in Overlap group were significantly longer than those in FEEA group;first postoperative exhaust time,hospital stay and hospital cost were significantly better than those in FEEA group(P<0.05). There was no significant difference in serum nutritional indexes between 2 groups before and 7 days after surgery(P>0.05). Serum albumin(ALB),hemoglobin(Hb)and total serum protein(TP)in 3 months after operation of Overlap group were significantly higher than those in FEEA group(P<0.05). There was no significant difference in the total incidence of postoperative complications between 2 groups(P>0.05).

Conclusion

NOSES left hemipelagic colon cancer Overlap can promote postoperative intestinal function recovery,improve long-term nutritional status,and is of great significance for promoting postoperative rehabilitation and reducing hospitalization costs.

表1 78例NOSES左半结肠癌根治术不同消化道重建方法两组患者一般资料比较[(
xˉ
±s),例]
表2 78例NOSES左半结肠癌根治术不同消化道重建方法两组患者围手术期指标比较(
xˉ
±s)
表3 78例NOSES左半结肠癌根治术不同消化道重建方法两组患者术后血清营养指标比较(
xˉ
±s)
表4 78例NOSES左半结肠癌根治术不同消化道重建方法两组患者术后并发症情况比较[例(%)]
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