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| Clinical study of preservation of left colic artery during laparoscopic assisted anterior resection of low rectal cancer in elderly patients |
| WANG Xian1 ZHEN Ya′nan2 WANG Chunxi3 SONG Zhou3 WANG Lingdi3 XU Zhongfa2 |
1.School of Medicine and Life Sciences, Shandong Academy of Medical Sciences, Ji′nan University, Shandong Province, Ji′nan 250022, China;
2.Department of General Surgery, Affiliated Hospital of Shandong Academy of Medical Sciences, Shandong Province, Ji′nan 250031, China;
3.Department of General Surgery, Chinese PLA General Hospital, Beijing 100853, China |
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Abstract Objective To evaluate the clinical effect and application value of preserving left colic artery during laparoscopic anterior resection of low rectal cancer in elderly patients. Methods Clinical data of 79 patients who underwent laparoscopic radical resection of low rectal cancer in Department of General Surgery, Chinese PLA General Hospital from January 2016 to January 2018 were retrospectively analyzed. The patients who retained the left colic artery during the operation were regarded as the observation group (32 cases), and the patients who did not retain the left colic artery were regarded as the control group (47 cases). The intraoperative, postoperative, recurrence and metastasis were compared between the two groups. Results There were no statistically differences between the two groups in operative time, intraoperative blood loss, number of lymph node dissection, number of lymph node dissection at root of inferior mesenteric artery, incision infection, intestinal obstruction, recurrence rate and metastasis rate (all P ＞ 0.05). There were statistical differences in the incidence of anastomotic bleeding, anastomotic fistula and free splenic curvature between the two groups (all P ＜ 0.05). Conclusion During laparoscopic anterior resection of low rectal cancer in elderly patients,preserving the left colonic artery will not increase the operation time and operation risk, but may reduce the incidence of anastomotic bleeding, anastomotic fistula and free splenic curvature, which is worthy of clinical application.
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