| 摘要: |
| ［摘要］ 目的 评价超声刀联合双极电凝在腹腔镜直肠癌盆腔侧方淋巴结清扫（LLND）中的应用效果。方法 回顾性分析2015年1月至2020年12月在陕西省人民医院普外科行腹腔镜直肠癌根治术的120例患者的临床资料，术中均行LLND。根据手术方式分为超声刀联合双极电凝组（观察组，68例）和超声刀组（对照组，52例），比较两组术中指标、术后并发症及中期生存预后。结果 与对照组相比，观察组手术时长更短，术中出血量和术后第1天引流量更少，差异均有统计学意义（P<0.05）。两组术后第2天引流量、引流管拔除时间、尿潴留发生率、尿管拔除时间及术后住院天数比较差异无统计学意义（P>0.05）。两组患者3年总生存率差异无统计学意义（P>0.05）。结论 超声刀联合双极电凝在腹腔镜直肠癌LLND中的应用可缩短手术时长，减少术中出血量及术后引流量，具有较好的临床应用价值。 |
| 关键词: 超声刀 双极电凝 腹腔镜直肠癌根治术 侧方淋巴结清扫 |
| DOI：10.3969/j.issn.1674-3806.2022.07.04 |
| 分类号:R 735.3+7 |
| 基金项目:陕西省人民医院2021年科技人才支持计划资助项目（编号：2021JY-08） |
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| Evaluation of application effects of ultrasonic scalpel combined with bipolar coagulation in laparoscopic lateral pelvic lymph node dissection for rectal cancer |
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XUE Fei, XU Sheng, LI Xiao-fan, et al.
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The Second Department of General Surgery, Shanxi Provincial People′s Hospital, Xi′an 710068, China
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| Abstract: |
| ［Abstract］ Objective To evaluate the application effects of ultrasonic scalpel combined with bipolar coagulation in laparoscopic lateral pelvic lymph node dissection(LLND) for rectal cancer. Methods The clinical data of 120 patients who underwent laparoscopic radical resection of rectal cancer at the Department of General Surgery of Shanxi Provincial People′s Hospital from January 2015 to December 2020 were retrospectively analyzed. All the patients underwent LLND during the operation. The patients were divided into the ultrasonic scalpel combined with bipolar coagulation group(the observation group, 68 cases) and the ultrasonic scalpel group(the control group, 52 cases) according to different operation methods. The intraoperative indicators, postoperative complications and medium-term survival prognosis were compared between the two groups. Results Compared with the control group, the observation group had shorter operative time, less intraoperative blood loss, less drainage volume on the first day after operation, and the differences were statistically significant(P<0.05). There were no significant differences between the two groups in the drainage volume on the second day after operation, the time of removing the drainage tubes, the incidence of urinary retention, the time of urinary catheter removal and the postoperative hospital stay(P>0.05). There was no significant difference in the 3-year overall survival rate between the two groups(P>0.05). Conclusion The application of ultrasonic scalpel combined with bipolar coagulation can shorten the operative time, reduce intraoperative blood loss and postoperative drainage volume in laparoscopic LLND for rectal cancer, and it has good clinical application value. |
| Key words: Ultrasonic scalpel Bipolar coagulation Laparoscopic radical resection of rectal cancer Lateral pelvic lymph node dissection(LLND) |
