Abstract:
Objective To investigate the clinical efficacy of 3D laparoscopic radical operation in treatment of obstructive colon cancer after anorectal decompression.
Methods The clinical data of 54 patients with obstructive colon cancer admitted into our hospital from June 2015 to June 2018 were analyzed retrospectively. All cases were received anorectal decompression before surgery, according to surgical procedures, the patients were divided into 3D group (25 patients) and laparotomy group (29 patients). Statistical analysis was performed by using SPSS 22.0 software, perioperative indicators were expressed as (±s) and examined by using t test. The post-operative complication rate was examined by chi square test. A P value of <0.05 was considered as significant difference.
Results There were no significant difference in decompression tube indwelling time, operation time and number of dissected lymph nodes between the two groups(P>0.05). The intraoperative blood loss, first flatus time and average hospitalization time in 3D group were significantly less than those in laparotomy group, the hospitalization cost in 3D group was significantly higher than that in laparotomy group (P<0.05); No significant difference was observed in postoperative complication rate between the two groups (P>0.05).
Conclusion 3D laparoscopic radical operation in the treatment of obstructive colon cancer after anorectal decompression is feasible and safe, with less intraoperative bleeding and faster postoperative recovery, which is valuale to be applied in clinical.
Key words:
Colonic neoplasms,
Intestinal obstruction,
Decompression, surgical,
Laparoscopes
Ying Qin, Haitao Zhang, Shutong Zhuang, Jianfeng Wen, Anwen Liu. Clinical effect of 3D laparoscopic radical operation in treatment of obstructive colon cancer after anorectal decompression[J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2019, 13(04): 421-423.