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Chinese Journal of Operative Procedures of General Surgery(Electronic Edition) ›› 2020, Vol. 14 ›› Issue (05): 460-463. doi: 10.3877/cma.j.issn.1674-3946.2020.05.010

Special Issue:

• Original Article • Previous Articles     Next Articles

Clinical analysis of gastrointestinal function of patients after laparoscopic radical surgery for right colon cancer

Dong Yan1, Xiongfei Yang1,(), Weisheng Zhang1, Binbin Du1   

  1. 1. Department of Colorectal and Anal Surgery, Gansu Provincial People’s Hospital, Gansu 730000, China
  • Received:2019-06-21 Online:2020-10-26 Published:2020-10-26
  • Contact: Xiongfei Yang
  • About author:
    Corresponding author: Yang Xiongfei, Email:

Abstract:

Objective

To analyze the impact of laparoscopic right colon cancer on the gastrointestinal function of patients with colon cancer.

Methods

The clinical data of 120 patients with colon cancer admitted to our hospital from January 2017 to December 2018 were analyzed retrospectively. According to surgical procedures, 80 patients underwent laparotomy were divided into the open group and forty patients received laparoscopic surgery were divided into the laparoscopic group. Statistical analysis were performed by using SPSS22.0 software. Measurement data such as the surgical related indexes, stress indicators, gastrointestinal hormones, and gastrointestinal function recovery effects were expressed as (±s), and were examined by using independent t test. The incidence of complications was analyzed by using χ2 test. A P value of < 0.05 was considered as statistically significant difference.

Results

The number of harvested lymph nodes in the laparoscopic group was comparable to that in the open group, with no statistically significant difference (P>0.05). The operation time was longer than that in the open group, and the intraoperative blood loss was less than that in the open group, while the recovery of gastrointestinal function was better than that. in the open group, with statistically significant differences (P<0.05). There was no significant differences in terms of preoperative gastrointestinal hormones and stress indexes between the two groups. Postoperative gastrointestinal hormones were lower than that before surgery, and the stress index was higher than that before surgery, with statistically significant differences (P<0.05). The gastrointestinal hormones in the laparoscopic group were higher than those in the open group, and the stress index was lower than that in the open group respectively (P<0.05). The incidence of complications in the laparoscopic group was 5.0%, which was lower than 26.3% in the open group., with statistically significant difference (P<0.05).

Conclusion

The laparoscopic treatment of right colon cancer has less impact on gastrointestinal function, with milder stress response and lower complication rate. It could be used as a preferred treatment.

Key words: Colonic neoplasms, Laparoscopes, Colectomy, Gastrointestinal hormones, Gastrointestinal function, Stress index

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