【摘要】 目的:探讨改良双吻合技术在腹腔镜直肠前切除术中的应用效果。方法:回顾分析2018年2月至2022年10月收治的126例行腹腔镜直肠前切除术患者的临床资料。根据吻合方式分为改良双吻合组(观察组，n=61)与传统双吻合组(对照组，n=65)。对比分析两组临床资料、手术时间、术中出血量、术后排气时间、饮食时间及并发症发生率等指标。结果:两组均顺利完成手术，两组患者基线资料差异无统计学意义(P>0.05)。观察组与对照组手术时间[(180.82±40.93)min vs.(176.75±31.66)min]、术中出血量[(75.57±21.31)mL vs.(74.46±21.29)mL]、术后排气时间[(4.52±0.92)d vs.(4.51±1.11)d]、饮食时间[(4.77±1.02)d vs.(4.82±1.68)d]差异无统计学意义(P>0.05)。术后共11例发生吻合口漏，其中观察组2例(3.28%),对照组9例(13.85%),观察组吻合口漏发生率低于对照组，差异有统计学意义(P<0.05)。两组术后吻合口出血、腹腔感染、肠梗阻、切口感染、吻合口狭窄发生率差异无统计学意义(P>0.05)。结论:改良双吻合在腹腔镜直肠前切除术中安全、有效，可降低吻合口漏发生率。更多还原

【Abstract】 Objective:To investigate the effectiveness of modified double-stapling technique in laparoscopic anterior resection for patients with rectal cancer.Methods:Clinical data of one hundred and twenty-six patients who underwent laparoscopic anterior rectal resection from Feb.2018 to Oct.2022 were retrospectively analyzed.Depending on the anastomosis technique, patients were divided into the observation group(n=61) and control group(n=65).The patients in the observation group were treated with the modified double-stapling technique while patients in the control group were treated with traditional double-stapling technique, and the clinical data, ope-rative time, intraoperative blood loss, postoperative exhaust time, postoperative eating time and incidence of complications were compared between the two groups.Results:All the enrolled patients completed surgery successfully.There was no significant difference in basic data between the two groups(P>0.05).The difference was not statistically significant between the observation group and the control group in operative time [(180.82±40.93)min vs.(176.75±31.66)min],intraoperative blood loss [(75.57±21.31)mL vs.(74.46±21.29)mL],postoperative exhaust time [(4.52±0.92)d vs.(4.51±1.11)d] and postoperative eating time [(4.77±1.02)d vs.(4.82±1.68)d](P>0.05).Anastomotic leakage occurred in 11 cases.The incidence of anastomotic leakage was 3.28%(2/61) in the observation group and 13.85%(9/65) in the control group(P<0.05).No significant difference was noted between the 2 groups in postoperative anastomotic bleeding, abdominal infection, ileus, incision infection and anastomotic stenosis(P>0.05).Conclusions:Modified double-stapling technique in laparoscopic anterior rectal resection is safe and effective, and can reduce the incidence of anastomotic leakage.更多还原