Comparison of end-to-side anastomosis and trans-side-to-side anastomosis in the short-term complications after laparoscopic radical right colon cancer radical operation
10.3760/cma.j.cn115396-20200107-00007
- VernacularTitle:端侧吻合与反式侧侧吻合在腹腔镜右半结肠癌根治术后近期并发症中的比较
- Author:
Wangqiang JIA
1
;
Hongyan NI
;
Long YUAN
Author Information
1. 郑州大学附属肿瘤医院普外科 450008
- From:
International Journal of Surgery
2020;47(4):251-255,290
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To compare and analyze the complications of end-to-side ileocolon anastomosis and trans-side-to-side anastomosis in laparoscopic assisted radical resection of right colon cancer.Methods:A total of 104 patients with right colon cancer who were treated in the same medical group from March 2018 to October 2019 in Department of General Surgery, the Affiliated Cancer Hospital of Zhengzhou University were selected as the research subjects. All patients were randomly divided into observation group and control group, each with 52 cases. The end-to-side ileocolon anastomosis was used in the observation group and trans-side ileocolon anastomosis in the control group. The operation time, anastomotic fistula, intestinal obstruction and anastomotic stenosis cases, the first time of postoperative exhaustion, and the time of defecation, etc. were counted in two groups of patients, and the occurrence of postoperative complications related to two different anastomosis methods were compared and analyzed. The software of SPSS22.0 was used to conduct statistical analysis, the counting data was expressed by n(%) and the measurement data was expressed as mean ± standard deviation. The comparison of the two groups was by independent sample t test, the comparison of count data was by χ2 test. Results:After the operation of the two groups of patients, there was no significant difference in operation time, first exhaust time, first defecation time and intraoperative blood loss between the observation group and the control group ( P>0.05). The total incidence of complications such as anastomotic fistula, anastomotic stenosis, anastomotic bleeding, and intestinal obstruction in the observation group after surgery was 3.84% (2/52), and the total incidence of complications in the control group was 15.38% (8/52). The two groups had statistical significance in total postoperative complications ( χ2=3.983, P=0.046). Conclusion:In laparoscopic-assisted radical colonectomy for right colon cancer, the choice of anastomosis based on ileocolonic anastomosis can reduce the incidence of postoperative complications and enable patients to obtain better treatment results, thus it can be given priority consideration.
