Application of proximal colon resection in the operation of rectal cancer
10.3969/j.issn.1005-6483.2017.08.022
- VernacularTitle:近侧结肠系膜切除在直肠癌手术中的应用
- Author:
Fei XIONG
;
Jigui CHEN
- Keywords:
rectal cancer;
proximal colonic system;
lymph node metastasis rate;
recent complication;
surgical procedure
- From:
Journal of Clinical Surgery
2017;25(8):628-630
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the value of the proximal colon resection in the operation of rectal cancer.Methods 143 cases of rectal cancer in our hospital were selected and randomly divided into observation group (82 cases)and control group (61 cases).The observation group was treated with the excision of the membrane of the colon,and the control group was treated with routine operation.The pathological report of two groups was analyzed,the number of lymph nodes resection and the positive lymph nodes were compared,and the incidence of postoperative complications in the two groups were observed.Results In the observation group,1487 lymph nodes were detected,the average number of lymph nodes was 18.1,the lymph nodes metastasis were 203,and the average number of lymph nodes metastasis were 2.5.No recent complications occurred.The control group of 61 patients,a total of 749 lymph nodes were detected,the average number of lymph nodes detected 12.3,lymph nodes metastasis were 103,the average number of metastatic lymph nodes metastasis were 1.7.No recent complications occurred.There was a significant difference between the average detection rate of lymph nodes in the two groups(P ＜ 0.05).Conclusion The proximal colon resection can improve the resection rate and reduce the residual of positive lymph nodes,which can reduce the recurrence and metastasis of rectal cancer.
