Significance and clinical application of preserving left colonartery in laparoscopic radical resection of rectal cancer

LIU Zhengfeng; ZHANG Cheng

doi:10.7619/jcmp.201910005

Journal of Clinical Medicine in Practice > 2019 > 23(10): 15-18. > DOI: 10.7619/jcmp.201910005

LIU Zhengfeng, ZHANG Cheng. Significance and clinical application of preserving left colonartery in laparoscopic radical resection of rectal cancer[J]. Journal of Clinical Medicine in Practice, 2019, 23(10): 15-18. DOI: 10.7619/jcmp.201910005

Citation:

PDF (548 KB)

Significance and clinical application of preserving left colonartery in laparoscopic radical resection of rectal cancer

LIU Zhengfeng¹,
ZHANG Cheng^2, ,

1.
Graduate Cultivation Base, Fushun Central Hospital of Jinzhou Medical University, Shenyang, Liaoning, 110000
2.
General Hospital of Northern Theater of Operations, Shenyang, Liaoning, 110015

More Information

Received Date: February 01, 2019
Accepted Date: April 09, 2019
Available Online: February 22, 2021
Published Date: May 27, 2019

Graphical Abstract

Abstract

Abstract

Objective To analyze the significance and clinical application of preserving left colon artery in laparoscopic radical resection of rectal cancer.
Methods A total of 100 patients who received laparoscopic radical resection of rectal cancer in our hospital from January 2017 to January 2019 were selected in the study. According to whether left colonic artery was preserved during operation, the patients were divided into control group and observation group, with 50 cases in each group. The left colon artery was not retained in the control group, while the left colon artery was retained in the observation group. The intraoperative bleeding volume, operation time, ventilation time, hospitalization time, number of lymph node dissection, pathological results and recovery were compared and analyzed between the two groups.
Results There were no significant difference in bleeding volume, operation time, hospitalization time and number of lymph node dissection between the two groups (P>0.05). The postoperative ventilation time of the observation group was significantly shorter than that of the control group [(2.56±0.41) d vs. (2.81±0.53) d, P < 0.05]. There were no significant difference in histological types, TNM staging, the incidences of urinary retention and sexual dysfunction between the two groups (P>0.05). The incidence of anastomotic leakage in the observation group was significantly lower than that in the control group(P < 0.05).
Conclusion Laparoscopic radical resection of rectal cancer with left colon artery preservation has no effect on intraoperative bleeding volume, operation time, ventilation time, hospitalization time, number of lymph node dissection and postoperative pathological results, but it can reduce the incidence of complications caused by anastomotic leakage.
- laparoscopy,
- rectal cancer,
- radical operation,
- left colon artery,
- anastomotic fistula

FullText(HTML)

References (18)

References

[1]	黄宽军, 张丽鹏. 腹腔镜直肠癌根治术的肿瘤根治效果及安全性探讨[J]. 中国实用医药, 2017, 12(31): 52-53. https://www.cnki.com.cn/Article/CJFDTOTAL-ZSSA201731026.htm
[2]	叶德勤. 直肠癌根治术并发症防治的护理对策[J]. 中国实用医药, 2015, 10(10): 215-216. https://www.cnki.com.cn/Article/CJFDTOTAL-ZSSA201510154.htm
[3]	兰平, 郑晓彬. 腹腔镜下直肠癌根治术的争议与难点[J]. 腹部外科, 2017, 30(1): 3-7. doi: 10.3969/j.issn.1003-5591.2017.01.002
[4]	骆洋, 秦骏, 陈建军, 等. 腹腔镜直肠癌手术中保留左结肠动脉与否疗效对比研究[J]. 中国实用外科杂志, 2017, 37(6): 660-664. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGWK201706018.htm
[5]	王勇, 王宏刚, 刘庆宏. 腹腔镜直肠癌根治术中保留左结肠动脉的临床价值[J]. 江苏医药, 2017, 43(18): 1328-1330. https://www.cnki.com.cn/Article/CJFDTOTAL-YIYA201718013.htm
[6]	刘云庚, 张磊, 黄箕然, 等. 腹腔镜下直肠前切除术中保留左结肠动脉对促进患者术后的康复作用[J]. 南方医科大学学报, 2017, 37(9): 1261-1264. doi: 10.3969/j.issn.1673-4254.2017.09.21
[7]	仇爱峰, 施育华, 王学斌, 等. 保留左结肠动脉低位结扎肠系膜下动脉技术在腹腔镜直肠癌前切除术中的应用及疗效分析[J]. 中外医疗, 2017, 36(25): 27-29. https://www.cnki.com.cn/Article/CJFDTOTAL-HZZZ201725009.htm
[8]	张中祥, 张国奎. 腹腔镜直肠癌根治术中保留左结肠动脉的临床意义[J]. 现代医药卫生, 2017, 33(22): 3467-3469. doi: 10.3969/j.issn.1009-5519.2017.22.036
[9]	丁永斌, 王鹏. 关于低位直肠手术的几点思考[J]. 世界华人消化杂志, 2017, 25(35): 3109-3114. https://www.cnki.com.cn/Article/CJFDTOTAL-XXHB201735005.htm
[10]	胡伟国, 张鲁阳, 洪希周, 等. 头侧中间入路的腹腔镜直肠癌根治术: 保留左结肠动脉的临床意义[J]. 外科理论与实践, 2017, 22(6): 489-492. https://www.cnki.com.cn/Article/CJFDTOTAL-WKLL201706011.htm
[11]	池良杰, 林达佳, 郑羽, 等. 腹腔镜直肠癌根治术中保留左结肠动脉的临床意义探讨[J]. 中国现代医生, 2017, 55(35): 39-42. https://www.cnki.com.cn/Article/CJFDTOTAL-ZDYS201735012.htm
[12]	陈纲, 李世拥. 腹腔镜直肠癌根治保留左结肠血管的技巧及意义[J]. 中华普外科手术学杂志: 电子版, 2018, 12(1): 9-11. doi: 10.3877/cma.j.issn.1674-3946.2018.01.003
[13]	包勇磊, 费伯健. 保留左结肠动脉对直肠癌微创手术效果的影响[J]. 实用癌症杂志, 2018, 33(1): 99-101, 105. doi: 10.3969/j.issn.1001-5930.2018.01.031
[14]	李松岩, 宋林杰, 那兴邦, 等. 保留左结肠动脉3D腹腔镜直肠癌根治术的围术期指标观察[J]. 解放军医学院学报, 2018, 39(2): 114-116, 125. doi: 10.3969/j.issn.2095-5227.2018.02.007
[15]	冯雯卿, 陆爱国. 肠系膜下动脉低位结扎与高位结扎并根部淋巴结清扫在直肠癌手术中的意义[J]. 外科理论与实践, 2018, 23(1): 81-83. https://www.cnki.com.cn/Article/CJFDTOTAL-WKLL201801025.htm
[16]	任聪, 白文武, 罗志民, 等. 腹腔镜直肠癌根治术中保留左结肠动脉可行性的研究[J]. 河北医学, 2018, 24(2): 286-290. doi: 10.3969/j.issn.1006-6233.2018.02.029
[17]	刘莹, 李金秋, 张凯, 等. 右半结肠合并直肠重复癌时的术式选择附四例报告[J]. 中华结直肠疾病电子杂志, 2018, 7(1): 79-82. doi: 10.3877/cma.j.issn.2095-3224.2018.01.017
[18]	彭伟谦, 李瑞平, 陈卓林, 等. 腹腔镜直肠癌根治术中左结肠动脉处理方式对术后并发症的影响[J]. 广州医科大学学报, 2017, 45(5): 49-51. doi: 10.3969/j.issn.2095-9664.2017.05.13

[1]	JIA Min, SUN Chenling, RUI Xiaowen. Current situation of exercise fear in patients with atrial fibrillation during "blank period" after radiofrequency ablation and its influencing factors[J]. Journal of Clinical Medicine in Practice, 2023, 27(13): 93-98. DOI: 10.7619/jcmp.20231228
[2]	GAO Haihua, YANG Lingling, LIU Xiaohui, NA Wenli, LIU Fang, WANG Wenyu, LIU Xiaoling, KANG Chunjing, GAN Ru, DU Xuan, YANG Xiaoping, WANG Huijuan, YUAN Jialin. Research of resourcefulness of main caregivers of stroke patients based on structural equation model and its influencing factors[J]. Journal of Clinical Medicine in Practice, 2023, 27(8): 24-30. DOI: 10.7619/jcmp.20223824
[3]	LIU Wei, GAO Min, ZHONG Weinan, YANG Mengyuan, LU Jing, SUN Guozhen. Current status and influencing factors of life meaning in patients with chronic heart failure[J]. Journal of Clinical Medicine in Practice, 2023, 27(3): 40-45. DOI: 10.7619/jcmp.20221549
[4]	CHEN Ying, XU Fengqin, XU Qin, WANG Dongyan. Occurrence of perioperative depression in elderly patients with osteoporotic fractures and its influencing factors[J]. Journal of Clinical Medicine in Practice, 2021, 25(20): 97-101. DOI: 10.7619/jcmp.20211545
[5]	GUO Ying, PEI Dongmei. Analysis in influencing factors of hypercholesterolemia in the elderly based on propensity score[J]. Journal of Clinical Medicine in Practice, 2021, 25(5): 65-68. DOI: 10.7619/jcmp.20201914
[6]	XIAO Yili, PAN Jianfang, WANG Liping, DUAN Yali. Food allergy status of infants and young children in community in Shanghai and influencing factors[J]. Journal of Clinical Medicine in Practice, 2018, (11): 72-74,78. DOI: 10.7619/jcmp.201811020
[7]	XIAO Bing. Influencing factors of quality of life in elderly patients with advanced oral tumor resection[J]. Journal of Clinical Medicine in Practice, 2018, (5): 98-100. DOI: 10.7619/jcmp.201805030
[8]	ZHENG Qinghou, XU Weiwei, WANG Zhen, LIU Jun, GAO Lei, TAN Huilian, LIU Ling. Influencing factors of myocardial perfusion after percutaneous coronary intervention in elderly patients[J]. Journal of Clinical Medicine in Practice, 2017, (11): 8-11. DOI: 10.7619/jcmp.201711003
[9]	TAN Zhihui, TANG Qiqun, CHENG Jie. The status and influencing factors of work values of ICU nurses[J]. Journal of Clinical Medicine in Practice, 2017, (10): 130-133. DOI: 10.7619/jcmp.201710039
[10]	LING Yan. Nutritional risk and its influencing factors of severe neurosurgical patients[J]. Journal of Clinical Medicine in Practice, 2017, (10): 43-46. DOI: 10.7619/jcmp.201710014

Cited By

Cited by

Periodical cited type(0)

Other cited types(1)

Get Citation

PDF

XML

Article views (307) PDF downloads (5) Cited by(1)

Turn off MathJax

Article Contents

Abstract

References

Significance and clinical application of preserving left colonartery in laparoscopic radical resection of rectal cancer

Abstract

References

Related Articles

Cited by

Periodical cited type(0)

Other cited types(1)

Catalog

Significance and clinical application of preserving left colonartery in laparoscopic radical resection of rectal cancer

Abstract

References

Related Articles

Cited by

Periodical cited type(0)

Other cited types(1)

Catalog

Export File

Citation

Format

Content