Effect analysis of 4K laparoscopic system assisted transanal total mesorectal excision for low rectal cancer

LI Xuan; YU He; WANG Xu; LI De-hui

doi:10.11659/jjssx.11E022086

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Effect analysis of 4K laparoscopic system assisted transanal total mesorectal excision for low rectal cancer

Clinical Research | 更新时间：2023-11-24

- Effect analysis of 4K laparoscopic system assisted transanal total mesorectal excision for low rectal cancer
- JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY Vol. 32, Issue 11, Pages: 1013-1016(2023)
- 作者机构：
  
  1.青岛市市立医院消毒供应室，山东青岛 266000
  2.青岛市市立医院麻醉手术室，山东青岛 266000
  3.青岛市市立医院结直肠外科，山东青岛 266000
- 作者简介：
- 基金信息：
- DOI：10.11659/jjssx.11E022086
  CLC： R657.1
- Published：25 November 2023，
  
  Received：16 November 2022，
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李璇,于和,王煦等.4K腹腔镜辅助经肛全直肠系膜切除术治疗低位直肠癌的临床分析[J].局解手术学杂志,2023,32(11):1013-1016.

LI Xuan,YU He,WANG Xu,et al.Effect analysis of 4K laparoscopic system assisted transanal total mesorectal excision for low rectal cancer[J].JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY,2023,32(11):1013-1016.
李璇,于和,王煦等.4K腹腔镜辅助经肛全直肠系膜切除术治疗低位直肠癌的临床分析[J].局解手术学杂志,2023,32(11):1013-1016. DOI： 10.11659/jjssx.11E022086.

LI Xuan,YU He,WANG Xu,et al.Effect analysis of 4K laparoscopic system assisted transanal total mesorectal excision for low rectal cancer[J].JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY,2023,32(11):1013-1016. DOI： 10.11659/jjssx.11E022086.

摘要

目的

探究4K腹腔镜辅助经肛全直肠系膜切除术（TaTME）治疗低位直肠癌的临床效果。

方法

选取2019年7月至2021年1月于本院接受4K腹腔镜辅助TaTME治疗的52例低位直肠癌患者为观察组，另选取2018年1月至2019年6月接受腹腔镜辅助全直肠系膜切除术（LaTME）治疗的50例低位直肠癌患者为对照组。比较2组患者手术指标及术后3个月肛门功能恢复情况；比较2组患者的生存情况。

结果

与对照组相比，观察组患者手术时间长、术中出血量多、切缘与肿瘤下缘距离短、手术费用少，差异均具有统计学意义（

0.05）。术后3个月，观察组患者肛门功能恢复率为94.23%，明显高于对照组的80.00%，差异具有统计学意义（

0.05）。2组患者随访20~47个月，平均（33.90±9.75）个月，其中观察组死亡6例（肿瘤相关死亡3例，心、肾功能疾病3例），对照组肿瘤相关死亡8例。

Kaplan

Meier

结果显示，2组患者的平均生存时间差异无统计学意义（

0.05）。

结论

4K腹腔镜辅助TaTME治疗低位直肠癌，可以提高患者的肛门功能恢复质量，减少手术费用，但更细致的手术操作会延长手术时间，增加术中出血量，需要结合患者具体情况制定治疗方案。

Abstract

Objective

To investigate the efficacy of 4K laparoscope assisted transanal total mesorectal excision （TaTME） in the treatment of low rectal cancer.

Methods

A total of 52 patients with low rectal cancer who were treated by 4K laparoscope assisted TaTME in our hospital from July 2019 to January 2021 were selected as the observation group. A total of 50 patients with low rectal cancer who underwent laparoscopic assisted total mesorectal excision （LaTME） from January 2018 to June 2019 were selected as the control group. The surgical indicators and anal function recovery 3 months after operation were compared between the two groups. The survival of the two groups were compared.

Results

Compared with the control group， the observation group had a longer operation time， more intraoperative bleeding， a shorter distance between the resection margin and the lower margin of the tumor， and less operation cost， with statistically significant differences （

0.05）. The recovery rate of anal function 3 months after operation in the observation group was 94.23%， which was significantly higher than 80.00% in the control group， and the difference was statistically significant （

0.05）. Patients in the two groups were followed up for 20 to 47 months， with an average of （33.90±9.75） months， including 6 deaths （3 tumor-related deaths， 3 cardiac and renal diseases） in the observation group and 8 tumor-related deaths in the control group.

Kaplan

Meier

result showed that there was no statistical significance in the mean survival time between the two groups （

0.05）.

Conclusion

4K laparoscope-assisted TaTME in the treatment of low rectal cancer can improve the quality of anal function recovery of patients， reduce the cost of surgery. However， more detailed surgical operations will prolong the operation time and increase the amount of intraoperative blood loss， therefore，the treatment plan should be formulated combined with the specific situation of patients.

关键词

低位直肠癌经肛全直肠系膜切除术4K腹腔镜腹腔镜

Keywords

low rectal cancertransanal total mesorectal excision4K laparoscopelaparoscope

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