Safety and effectiveness analysis of laparoscopic radical resection of colorectal cancer without indwelling gastric tube

HU Yu-fei; LI Heng; OUYANG Jun-feng; FU Yan

doi:10.11659/jjssx.10E023119

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Safety and effectiveness analysis of laparoscopic radical resection of colorectal cancer without indwelling gastric tube

Clinical Research | 更新时间：2024-12-10

- Safety and effectiveness analysis of laparoscopic radical resection of colorectal cancer without indwelling gastric tube
- JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY Vol. 33, Issue 12, Pages: 1070-1072(2024)
- 作者机构：
  
  湖北省十堰市太和医院/湖北医药学院附属医院普外科，湖北十堰 442000
- 作者简介：
- 基金信息：
- DOI：10.11659/jjssx.10E023119
  CLC： R619+.3
- Published：25 December 2024，
  
  Received：26 October 2023，
- 稿件说明：
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胡欲飞,李恒,欧阳骏峰等.腹腔镜结直肠癌根治术不留置胃管的安全性和有效性分析[J].局解手术学杂志,2024,33(12):1070-1072.

HU Yu-fei,LI Heng,OUYANG Jun-feng,et al.Safety and effectiveness analysis of laparoscopic radical resection of colorectal cancer without indwelling gastric tube[J].JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY,2024,33(12):1070-1072.
胡欲飞,李恒,欧阳骏峰等.腹腔镜结直肠癌根治术不留置胃管的安全性和有效性分析[J].局解手术学杂志,2024,33(12):1070-1072. DOI： 10.11659/jjssx.10E023119.

HU Yu-fei,LI Heng,OUYANG Jun-feng,et al.Safety and effectiveness analysis of laparoscopic radical resection of colorectal cancer without indwelling gastric tube[J].JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY,2024,33(12):1070-1072. DOI： 10.11659/jjssx.10E023119.

摘要

目的

评价行腹腔镜结直肠癌根治术围术期不留置胃管对患者术后康复的安全性和有效性。

方法

选取2021年1月至2023年1月在我院行腹腔镜结直肠癌根治术的90例患者为研究对象，将其随机分为观察组和对照组，各45例。比较2组患者术后首次排气排便时间、术后住院时间，以及咽喉疼痛、恶心呕吐、肺部感染、肠梗阻、吻合口瘘等并发症发生情况。

结果

观察组患者术后首次排气排便时间及术后住院时间均短于对照组，差异具有统计学意义（

0.05）。观察组患者咽喉疼痛及恶心呕吐发生率低于对照组，差异具有统计学意义（

0.05）；而2组患者术后肺部感染、肠梗阻及吻合口瘘等并发症发生率比较，差异无统计学意义（

0.05）。

结论

腹腔镜结直肠癌根治术患者围术期不留置胃管并未增加术后肺部感染、肠梗阻及吻合口瘘等并发症发生率，反而可降低术后咽喉疼痛及恶心呕吐的发生率，缩短住院时间，加速患者术后康复。

Abstract

Objective

To evaluate the safety and effectiveness of laparoscopic radical resection of colorectal cancer without indwelling gastric tube during the perioperative period for postoperative rehabilitation of patients.

Methods

A total of 90 patients who underwent laparoscopic radical resection for colorectal cancer in our hospital from January 2021 to January 2023 were selected as the study objects，they were randomly divided into the observation group and the control group，with 45 cases in each group. The time of first postoperative exhaust and defecation，postoperative hospital stay，and the occurrence of complications such as throat pain，nausea and vomiting，pulmonary infection，intestinal obstruction，and anastomotic fistula of patients were compared between the two groups.

Results

The time of first postoperative exhaust and defecation and postoperative hospital stay of patients in the observation group

were shorter than those in the control group，with statistically significant differences （

0.05）. The incidence of throat pain and nausea and vomiting of patients in the observation group was lower than that in the control group，with statistically significant difference （

0.05）； However，there was no statistically significant difference in postoperative complications such as pulmonary infection，intestinal obstruction，and anastomotic fistula of patients between the two groups （

0.05）.

Conclusion

Laparoscopic radical resection of colorectal cancer without indwelling gastric tube during the perioperative period will not increase the incidence of postoperative complications such as pulmonary infection，intestinal obstruction，and anastomotic fistula，instead，it can reduce the incidence of postoperative throat pain and nausea and vomiting，shorten hospital stay，and accelerate postoperative recovery of patients.

关键词

腹腔镜结直肠癌胃管围术期

Keywords

laparoscopecolorectal cancergastric tubeperioperative period

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