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目的探讨肥胖直肠癌患者行腹腔镜直肠前切除术的近期疗效。方法回顾性分析我院2012-01~2014-12之间经腹腔镜行直肠前切除术(Dixon)的患者216例,按体重分为3组:正常体重组(n=131),超重组(n=64),肥胖组(n=21)。比较组间一般情况、术前分期、手术指标、术后恢复及术后并发症。结果三组患者在年龄、性别、术前分期方面差异均无统计学意义(P>0.05),手术时间、术中出血量、排气时间、住院时间差异均无统计学意义(P>0.05),术后吻合口瘘、肠梗阻、切口感染等并发症上差异均无显著性(P>0.05)。结论腹腔镜直肠前切除术在肥胖直肠癌患者中应用是安全,可行的。
Objective To investigate the short-term effect of laparoscopic rectal resection in patients with obesity and rectal cancer. Methods A total of 216 patients with Dixon who underwent laparoscopic anastomosis between January 2012 and December 2014 were retrospectively analyzed. Body weight was divided into 3 groups: normal weight group (n = 131), overweight group n = 64), obese group (n = 21). The general conditions, preoperative staging, operative indicators, postoperative recovery and postoperative complications were compared. Results There was no significant difference in age, sex and preoperative staging between the three groups (P> 0.05). There was no significant difference in operation time, intraoperative blood loss, excretion time and hospital stay (P> 0.05) There was no significant difference in complications after anastomotic fistula, intestinal obstruction and incision infection (P> 0.05). Conclusion Laparoscopic anorectal resection in patients with obesity and rectal cancer is safe and feasible.