达芬奇机器人保肛手术中末端回肠保护性造口的效果分析

目的 观察保护性造口在加速康复外科理念指导下达芬奇机器人保肛手术中的应用效果.方法 选取本院直肠癌患者63例,根据是否行末端回肠保护性造口分为造口组31例与非造口组32例,比较2组围术期指标、肠功能恢复情况以及并发症发生率.结果 与非造口组比较,造口组手术时间延长,术中出血量增加,术后住院时间、术后首次化疗时间均明显缩...

Analysis in efficiency of protective colostomy of terminal ileum in anus-preserving surgery with Leonardo's robot

Objective To observe the effect of protective colostomy in anus-preserving surgery with Leonardo′s robot under guidance of the concept of fast-track surgery.Methods A total of 63 patients with rectal cancer were divided into stoma group(n=31)and non-stoma group(n=32)according to implementation of protective colostomy of terminal ileum.The perioperative indicators,the recovery of intestinal function and the incidence of complications were compared between the two groups.Results The operation time was longer and blood loss was more in the stoma group than those in the non-stoma group,while the postoperative hospital stay and the first time to postoperative chemotherapy were significantly shorter than those in the non-stoma group(P<0.05).The first ventilation time and the first eating time in the stoma group were significantly earlier than those in the non-stoma group(P<0.05).The incidence of complications in the stoma group was 9.68%,which was significantly lower than 18.75%in the non-stoma group(P>0.05).Conclusion Protective colostomy in anus-preserving surgery with Leonardo′s robot under guidance of the concept of fast-track surgery can effectively shorten the hospital stay of patients and promote the recovery of postoperative intestinal function with fewer complications.