预防性回肠双腔造口与单腔造口对腹腔镜低位直肠癌切除术后患者的影响

doi:10.20047/j.issn1673-7210.2022.31.25

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Abstract Objective To investigate the effects of prophylactic ileal double-lumen and single-lumen stoma on the patients after laparoscopic low rectal cancer resection. Methods A total of 86 patients with low rectal cancer in Yixing Hospital Affiliated to Jiangsu University were selected from January 2016 to November 2021 for this prospective study. They were divided into single-lumen stoma group (43 cases, single-lumen stoma) and double-lumen stoma group (43 cases, double-lumen stoma) by random number table method. The perioperative conditions, postoperative complications, and diversion colitis (DC) of stage Ⅰ and Ⅱ operation in the two groups were analyzed. Results In the double-lumen stoma group, three cases were lost to follow-up, and 40 cases were finally included in the study. There were no significant differences between the two groups in duration of stage Ⅰ operation, intraoperative blood loss of stageⅠ operation, exhaust time of stage Ⅰ operation, hospital stay of stage Ⅰ operation, time between stage Ⅰ operation and stage Ⅱ operation, intraoperative blood loss of stage Ⅱ operation, total incidence of complications of both two stage operation, and DC occurrence within six months after stage Ⅱ operation (P ＞ 0.05). The operation time of stage Ⅱ in double-lumen stoma group was longer than that in single-lumen stoma group, and the difference was statistically significant (P ＜ 0.05). There was a significant difference in different level DC occurrence between the two groups within three months after stage Ⅰ operation (P ＜ 0.05). Conclusion Prophylactic ileal double-lumen and single lumen stoma after laparoscopic low rectal cancer resection are both feasible and safe, but double-lumen can better reduce the incidence of DC and shorten the operation time of stage Ⅱ operation.

Key words： Double-lumen stoma Single-lumen stoma Laparoscope Rectal cancer Diversion colitis

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	WANG Bojun1 WU Xiaohong1 JIANG Yi2

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WANG Bojun1 WU Xiaohong1 JIANG Yi2. Effect of prophylactic ileal double-lumen and single-lumen stoma on the patients after laparoscopic low rectal cancer resection[J]. 中国医药导报, 2022, 19(31): 108-111.

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https://www.yiyaodaobao.com.cn/EN/10.20047/j.issn1673-7210.2022.31.25 OR https://www.yiyaodaobao.com.cn/EN/Y2022/V19/I31/108

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