Pelvic peritoneum reconstuction with barbed suture combined with irrigation and negative pressure drainage in laparoscopic rectal anterior resection for rectal cancer
10.3760/cma.j.issn.1007-631X.2018.12.014
- VernacularTitle:倒刺缝线关闭盆底腹膜联合骶前双套管负压冲洗引流在腹腔镜直肠前切除中的应用
- Author:
Guowu QIAN
1
;
Zhan SONG
;
Ke LYU
;
Haiyang ZHANG
;
Xinwei WANG
;
Bo LI
;
Xiaolin SUN
Author Information
1. 473009,郑州大学附属南阳医院(南阳市中心医院)普通外科南阳市大肠癌研究重点实验室
- Keywords:
Rectal neoplasms;
Suture;
Peritoneum;
Drainage;
Laparoscopy
- From:
Chinese Journal of General Surgery
2018;33(12):1030-1033
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate pelvic peritoneum reconstruction with barbed suture and irrigation and negative pressure drainage in laparoscopy rectal anterior resection for locally advanced rectal cancer.Methods From 2014 to 2018 159 locally advanced rectal cancer patients treated by laparoscopy were derided into study group (n =76),and those received gravity drainage without pelvic peritoneum reconstruction (n =83).Results There were not significant difference in the operation time between the two groups [(165 ± 18) min vs.(160 ± 17) min,t =0.098,P =0.069].There were significant differences in postoperative drainage tube indwelling duration [(5.7 ± 2.4) d vs.(7.4 ± 3.7) d,t =3.309,P =0.001],intraabdominal infection (7％ vs.17％,x2 =3.991,P =0.046) and anastomotic leakage (4％ vs.13％,x/2 =4.280,P =0.039).There was no significant difference in anastomotic stenosis (5％ vs.10％,x2 =1.088,P =0.297) and intestinal obstruction (9％ vs.11％,x2 =0.117,P =0.732) between the two groups.Conclusion It is simple,safe and reliable to perform pelvic peritoneal reconstruction using barbed suture,combined with irrigation and negative pressure drainage,it can decrease drainage tube indwelling duration,reduce the incidence of intraabdominal infection and anastomotic leakage.
