Short-term efficacy analysis on parallel overlapping anastomosis in 3D laparoscopic radical resection for transverse colon cancer
10.3760/cma.j.cn113855-20240729-00493
- VernacularTitle:平行重叠吻合法在3D腹腔镜下横结肠癌根治术中应用的近期疗效分析
- Author:
Chaofei WU
1
;
Junmeng LI
1
;
Chao ZHANG
1
;
Xiao LI
1
;
Tinghao CHEN
1
;
Heming YE
1
;
Tenglong LI
1
;
Junwei BAI
1
Author Information
1. 郑州大学省医临床医学院 河南省人民医院胃肠外科，郑州 450003
- Publication Type:Journal Article
- Keywords:
Colonic neoplasms;
Anastomosis, surgical;
Laparoscopy
- From:
Chinese Journal of General Surgery
2025;40(4):274-277
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the short-term efficacy of parallel overlapping anastomosis in 3D laparoscopic radical resection for transverse colon cancer.Methods:A retrospective analysis of clinical data was conducted on 73 patients who underwent 3D laparoscopic radical resection and parallel overlapping anastomosis for reconstruction of digestive tract transverse colon cancer at He'nan Provincial People's Clinical Medical School of Zhengzhou University between Apr 2019 and Jul 2023.Results:The average operation time was (165.3±28.9) min, the parallel overlapping anastomosis time was (15.6±2.6) min, the intraoperative blood loss was (47.7±19.4) ml, the first postoperative exhaust time was(2.2±0.9) d, the first time getting out of bed was (1.1±0.4) d, the number of lymph node dissection was (18.2±5.1), the first postoperative oral fluid diet time was (4.4±0.8) d, the postoperative hospital stay was (6.4±1.8) d. Anastomotic leakage occurred in one patient , who was discharged after enterostomy; Two patients with poor wound healing were cured after wound debridement and dressing change; Pulmonary infection in one patient was healed by anti-infection treatment. The postoperative complication rate was 6%, and no complications such as anastomotic bleeding, anastomotic stenosis, intestinal obstruction, abdominal infection occurred.Conclusion:Parallel overlapping anastomosis is a safe and reliable anastomotic procedure for the reconstruction of digestive tract in patients undergoing 3D laparoscopic radical resection of transverse colon cancer.
