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Chinese Journal of Operative Procedures of General Surgery(Electronic Edition) ›› 2018, Vol. 12 ›› Issue (02): 140-143. doi: 10.3877/cma.j.issn.1674-3946.2018.02.016

Special Issue:

• Original Article • Previous Articles     Next Articles

Analysis of the effect of postural selection on clinical efficacy in laparoscopic surgery

Yang Li1, Ziqiang Wang1,(), kun Yang1   

  1. 1. Department of gastrointestinal surgery west china hospital, Sichuan university Sichuan 611730 China
  • Received:2018-03-08 Online:2018-02-26 Published:2018-02-26
  • Contact: Ziqiang Wang
  • About author:
    Corresponding author: Wang Ziqiang, Email:
  • Supported by:
    National Natural Science Foundation of China(81301867)

Abstract:

Objective

To explore the clinical effect of laparoscopic colorectal cancer surgery in different posture and its effect on the operation comfort of patients.

Methods

86 patients with colorectal cancer who were diagnosed and operated in our hospital from June 2015 to June 2017 were included in the study, according to the different posture in the operation were divided into Group A (46 cases) and Group B (40 cases), in which Group A were treated with laparoscopic surgery under the modified cutting stones and Group B subjects performed laparoscopic surgery under the human supine position. The clinical effects of the two groups were evaluated with the operation time and postoperative complication as the main indexes. Data is analyzed by SPSS 20.0 software. The operation time was expressed in the form of (mean±standard deviation), independent t test was used among the groups, and the incidence rate of complication was expressed in the form of χ2 test. The difference of P<0.05 was statistically significant.

Results

The average operation time of Group A (2.2±0.9) h, was significantly less than the average operation time(3.8±0.7) h of B Group , and the difference was statistically significant, t=6.143, P<0.05. The postoperative complications of this study included lower limb pain, numbness, swelling, abdominal pain and the incidence of complication in Group A was 4.3%., the incidence of complication in Group B was 35.0%, the difference was statistically significant, P<0.05.

Conclusion

By choosing the improved cutting stone position in the laparoscopic surgery in patients with colorectal cancer can shorten the operation time and reduce the complication of operation, which is worthy of clinical application.

Key words: Colorectal Neoplasms, Laparoscopy, Posture, Treatment Outcome

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