Role and significance of PANP in laparoscopic surgery for low rectal cancer
10.3969/j.issn.1009-9905.2017.08.014
- VernacularTitle:腹腔镜下低位直肠癌手术保留自主神经的临床意义
- Author:
dong Lian SHEN
1
;
hai Wen QI
;
cai Guang CAO
;
ling Xin ZONG
Author Information
1. 延安大学附属医院肛肠外科 陕西延安716000
- Keywords:
Low rectal cancer;
Laparoscopy;
Autonomic nervous system;
Sexual function;
Quality of life
- From:
Chinese Journal of Current Advances in General Surgery
2017;20(8):639-641,672
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the clinical significance of preserving autonomic nerve (PANP) in patients with low rectal cancer.Methods:The clinical data of 68 cases of patients with low rectal cancer who underwent laparoscopic surgery in our hospital from March 2014 to January 2016 were retrospectively analyzed.According to the surgical methods,the patients were divided into PANP group and non PANP group.Two groups of patients with postoperative micturition function,sexual function and quality of life were observed,compared with the two groups of patients with postoperative satisfaction differences.Results:In retention of PANP group of patients with postoperative ultrasonic residual urine volume was lower than that in non retention in PANP group were less and recovery of automatic micturition time is short retention in PANP group,IPSS score was lower than that in non low retention in PANP group,the difference is statistically significant(P＜0.05);The female and male patients with retention of PANP group were better than those of non retention PANP group,and the difference was statistically significant (P＜0.05);There was no significant difference in quality of life between the two groups before surgery.After surgery,the quality of life of the two groups was lower than before treatment,and the decrease of PANP group was more obvious than that of the non retention group (P＜0.05).Conclusions:The autonomic nerve preservation in the operation of low rectal cancer has a good protective effect on the urinary function and sexual function,and can obviously improve the quality of life of patients after operation.
