腹腔镜右半结肠癌根治术在结肠癌患者治疗中对患者胃肠功能的影响

目的 探讨腹腔镜右半结肠癌根治术在结肠癌患者治疗中对患者胃肠功能的影响,以期证实腹腔镜右半结肠癌根治术的可行性.方法 76例结肠癌患者,依据随机数字表法分为研究组与对照组,各38例.对照组行开腹手术,研究组行腹腔镜右半结肠癌根治术.比较两组手术前后应激反应、胃肠激素,术后恢复情况,术后并发症及生存质量.结果 术后,研究...

Effect of laparoscopic radical resection of right colon cancer on gastrointestinal function in patients with colon cancer

Objective To discuss the effect of laparoscopic radical resection of right colon cancer on gastrointestinal function in patients with colon cancer, in order to prove the feasibility of laparoscopic radical resection of right colon cancer. Methods A total of 76 patients with colon cancer were divided into research group and control group according to the random numerical table method, with 38 cases in each group. The control group underwent laparotomy, and the research group underwent laparoscopic radical resection of right colon cancer. The stress response and gastrointestinal hormones before and after surgery, postoperative recovery,postoperative complications and quality of life were compared between the two groups. Results After surgery,the blood glucose, serum cortisol, gastrin, and motilin of the research group were(5.25±0.21) mmol/L,(493.13±3.19) nmol/L,(132.01±3.19) pg/ml, and(326.25± 1.67) pg/ml, which were better than(6.17±0.23) mmol/L,(521.03±3.15) nmol/L,(123.27±3.13) pg/ml, and(313.23±1.51) pg/ml of the control group, and the differences were statistically significant(P<0.05). The recovery time of bowel sound, anal exhaust time, and off-bed activity time in the research group were(12.03±1.21),(25.33±2.07), and(24.19±2.01) h, which were shorter than(18.19±2.07),(32.19±3.25), and(41.13±3.07) h in the control group, and the difference was statistically significant(P<0.05). The postoperative complication rate 5.26% of the research group was lower than 23.68% of the control group, and the difference was statistically significant(P<0.05). The Karnofsky performance status(KPS)score(82.35±5.21) points of the research group was higher than(62.33±3.19) points of the control group, and the difference was statistically significant(P<0.05). Conclusion Laparoscopic radical resection of right colon cancer has better results for the treatment of colon cancer, which can reduce stress response, protect gastrointestinal function, reduce complications, and optimize quality of life. Therefore, it is considered to be the optimal surgical procedure for colon cancer.