Comparison of the efficacy between laparoscopic suspension and traditional laparoscopic surgery in the treatment of sigmoid carcinoma

doi:10.3877/cma.j.issn.1674-3946.2021.06.014

Abstract

Abstract:

Objective

To analyze the curative effect of laparoscopic surgery combined with suspension and laparoscopic surgery of sigmoid colon cancer.

Methods

The clinical data of 83 patients with rectosigmoid colon cancer from December 2017 to December 2019 were retrospectively analyzed. According to different surgical procedures, 41 patients treated with 5-hole laparoscopy were included in the multi-hole group. 42 patients treated with surgery combined with suspension were included in the pore reduction group.SPSS23.0 software was used for processing, surgery-related indicators, gastrointestinal quality of life (GIQLI score) were expressed as (±s), independent t test was performed; The incidence of complications was expressed as a percentage, χ² test. P<0.05 indicates that the difference is statistically significant.

Results

The operative time and intraoperative blood loss in the aorticoid group were lower than those of the porous group, and the GIQLI score was higher than that of the porous group at 6 months after surgery (P<0.05). There was no statistical significance in the number of lymph node dissection and the incidence of complications between the two groups (P>0.05).

Conclusion

Laparotomy combined with suspension can achieve a similar number of lymph node dissection, reduce operative trauma and improve patients’quality of life.

Key words: Colorectal neoplasms, Laparoscopy, Comparative effectiveness research, Suspension method

Yao Lu, Dengfeng Zhu, Pingfa Gao, Qinghao Gong, Guoguang Feng. Comparison of the efficacy between laparoscopic suspension and traditional laparoscopic surgery in the treatment of sigmoid carcinoma[J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2021, 15(06): 636-638.

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Figures/Tables 4

References 14

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组别	例数	男/女	年龄(岁)	肿瘤最大直径(cm)	TNM	肿瘤位置
组别	例数	男/女	年龄(岁)	肿瘤最大直径(cm)	Ⅱ/Ⅲ	A/B
多孔组	41	25/16	54.7±6.8	10.5±2.5	17/24	13/28
减孔组	42	23/19	55.4±6.9	11.0±2.7	19/23	11/31
t/χ²		0.328	0.465	0.875	0.120	0.307
P值		0.567	0.643	0.384	0.729	0.579

组别	例数	男/女	年龄(岁)	肿瘤最大直径(cm)	TNM	肿瘤位置
组别	例数	男/女	年龄(岁)	肿瘤最大直径(cm)	Ⅱ/Ⅲ	A/B
多孔组	41	25/16	54.7±6.8	10.5±2.5	17/24	13/28
减孔组	42	23/19	55.4±6.9	11.0±2.7	19/23	11/31
t/χ²		0.328	0.465	0.875	0.120	0.307
P值		0.567	0.643	0.384	0.729	0.579

组别	例数	手术时间(min)	术中出血量(ml)	淋巴结清扫数目(枚)
多孔组	41	184.5±19.0	92.5±10.1	16.8±2.5
减孔组	42	155.1±16.2	67.0±8.3	16.1±2.4
χ²		7.592	12.580	1.399
P		<0.001	<0.001	0.166

组别	例数	手术时间(min)	术中出血量(ml)	淋巴结清扫数目(枚)
多孔组	41	184.5±19.0	92.5±10.1	16.8±2.5
减孔组	42	155.1±16.2	67.0±8.3	16.1±2.4
χ²		7.592	12.580	1.399
P		<0.001	<0.001	0.166

组别	例	腹腔感染/积液	吻合口漏/肠梗阻	空气栓塞/切口感染	其他	总发生率
多孔组	41	1(2.4)	2(4.9)	2(4.9)	1(2.4)	6(14.6)
减孔组	42	1(2.4)	1(2.4)	0(0.0)	1(2.4)	3(7.1)
χ²						1.204
P						0.272

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