关键词: 乙状结肠癌, 全腹腔镜, 改良三角吻合术

Abstract:

Objective To analyze the effect of modified laparoscopic triangulation on intestinal function recovery and postoperative pain in patients with sigmoid colon cancer. Method 80 patients with sigmoid colon cancer admitted to Macheng Traditional Chinese Medicine Hospital from June 2021 to June 2024 were selected and divided into a control group and a study group, with 40 patients in each group, according to different treatment methods. The two groups of patients received laparoscopic assisted small incision reconstruction treatment and laparoscopic modified triangular anastomosis treatment, respectively. The treatment effects, intestinal recovery, postoperative pain level, and incidence of complications were compared between the two groups. Result There was no significant difference in the length of intestinal resection and the number of lymph node dissection between the two groups of patients during surgery (P ＞ 0.05). Compared with the control group, the digestive reconstruction time, postoperative feeding time, and anal exhaust time of the study group patients were significantly shorter (P ＜ 0.001); And the pain scores of the study group patients on the first and third day after surgery were significantly lower than those of the control group (P ＜ 0.001), but on the fifth day after surgery, there was no significant difference in pain scores between the two groups (P ＞ 0.05). The total incidence of complications in the control group was 12.50%, which was higher than that in the study group (10.00%), but the difference was not significant (P ＞ 0.05). Conclusion Compared with laparoscopic assisted small incision reconstruction therapy, the use of modified triangular anastomosis under full laparoscopy for the treatment of patients with sigmoid colon cancer has the same effect, and the patient’s intestinal function recovers faster with less postoperative pain.

Key words: Sigmoid colon cancer, Full laparoscopy, Improved triangular anastomosis