|Table of Contents|

Reserve the left half colon vascular in TME surgery affect postoperative constipation

Journal Of Modern Oncology[ISSN:1672-4992/CN:61-1415/R]

Issue:
2022 03
Page:
492-495
Research Field:
Publishing date:

Info

Title:
Reserve the left half colon vascular in TME surgery affect postoperative constipation
Author(s):
ZHUANG Yize1; YANG Mengnan2; MA Jiaojiao1; WANG Tian1; FAN Shikun1; XU Jiawen1; ZHENG Chunhua1
1.Guiyang Guihang 300 Hospital Affiliated to Zunyi Medical University,Guizhou Guiyang 550009,China;2.Affiliated Hospital of Guizhou Medical University，Guizhou Guiyang 550004,China.
Keywords:
left colon artery; laparoscopic radical resection of rectal cancer; low ligation; postoperative constipation
PACS:
R735.3+5
DOI:
10.3969/j.issn.1672-4992.2022.03.023
Abstract:
Objective:To through the postoperative follow-up of patients who underwent laparoscopic radical resection of rectal cance（TME） to investigate the effect of ligation of left colonic blood vessels on postoperative constipation.Methods:A retrospective analysis was performed on 93 patients admitted to TME in hospital from May 2015 to May 2017.Results:There were no significant differences in patients' age,gender,operation time,intraoperative blood loss，BMI,preoperative CEA，incidence of anastomosis and postoperative tumor recurrence rate（P＞0.05）.The low ligation group was significantly better than the high ligation group in postoperative recovery of intestinal function,anastomic inflammation and incidence of postoperative constipation（P＜0.05）.The high ligation group was superior to the low ligation group in operation time(P＜0.05).Conclusion:TME surgery with the left colon preserved can complete the same lymph node dissection,protect the intestinal blood circulation to a certain extent,and reduce the incidence of postoperative constipation,which is worthy of further clinical research and promotion.

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Last Update: 2021-12-31