Effect of pre-implanted anti-adhesion patch in a Miles' operation on the incidence of parastomal hernia in elderly patients
10.3760/cma.j.issn.0254-9026.2019.07.014
- VernacularTitle:预置防粘连补片对老年腹会阴联合直肠癌根治术患者造口旁疝发生率的影响
- Author:
Haisheng LIANG
1
;
Lei ZHANG
;
Shuai WANG
;
Zengliang LIU
;
Tianzhu ZHANG
;
Peng LI
;
Yue CHANG
Author Information
1. 河北省涿州市医院普外二科 072750
- Keywords:
Rectal neoplasms;
Hernia
- From:
Chinese Journal of Geriatrics
2019;38(7):775-778
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effect of pre-implanted anti-adhesion patch under laparoscopic approach in a Miles' operation on the incidence of parastomal hernia in elderly patients.Methods A total of 68 patients with low rectal cancer admitted into our general surgery department were enrolled in the study from January 2012 to January 2015.All patients received laparoscopic assisted Miles operation.According to whether or not the pre-implanted anti adhesion patch was used during the operation,the 68 cases were divided into pre-implanted patch group(n=38)and the non-implanted patch group(n=30).The operation states,postoperative complications,complications during follow-up and 3-year survival rate were compared between the two groups.Results The operation duration was longer in the pre-implanted patch group than in the non-implanted patch group[(235.7± 33.6)min vs.(94.3±28.9)min,t =5.36,P=0.000].The incidence of complications was lower in the pre implanted patch group than in the non-implanted patch group at 3 years after operation[10.5％ (4/38)vs.90.0％(27/30),x2 =42.69,P =0.000].The local recurrence rate,distant metastasis rate and 3-year overall survival rate had no significant difference between the two groups[23.7 ％ (9/38)vs.23.3％ (7/30),31.6％ (12/38) vs.33.3％ (10/30) and 71.1％ (27/38) vs.70.0％ (21/30)respectively,x2=0.06,0.02 and 0.01,P=0.800,0.878 and 0.925].Conclusions Pre-implanted anti-adhesion patch under laparoscopic approach can significantly reduce the incidence of parastomal hernia in elderly patients after a Miles' operation,which is worthy of promotion.
