The Short-term Effect Of Laparoscopic Radical Resection Of Rectal Cancer With Pelvic Nerve Preservation And Its Influence On Male Urination And Sexual Function

Objective: Through comparative analysis of the short-term efficacy of laparoscopic pelvic autonomic neuroprotection combined with total mesorectal resection and open total mesorectal resection in the treatment of male low rectal cancer,and to evaluate the postoperative urogenital function of patients,with a view to improving male rectum Provide reference for the quality of life of cancer patients after surgery.Methods:To retrospectively analyze the general information and surgical status of 150 male patients with low rectal cancer who underwent surgery at the Sixth Affiliated Hospital of Sun Yat-sen University,Guangdong Province from September 2018 to September 2019.Fifty-eight patients who met the inclusion criteria underwent laparoscopic pelvic autonomic neuroprotection combined with total mesorectal resection(laparoscopic group),and 44 patients underwent open total mesorectum resection(open group)。 The short-term effects of the two surgical procedures were evaluated by comparing the clinical data,surgical conditions and postoperative rehabilitation of the two groups of patients,through the International Prostate Symptom Score(IPSS),the International Index of Erectile Function Score(IIEF)and the Ejaculation Function Score(CIPE)To evaluate the postoperative urination and sexual function of the two groups of patients.Results:Comparing the operation conditions of the two groups,the intraoperative blood loss of the laparoscopic group was lower than that of the open group,and the difference was statistically significant(P <0.05).The operation time of the laparoscopic group was longer than that of the open group,and the difference was statistically significant(P <0.05).There was no statistically significant difference in the number of lymph node dissections between the laparoscopic group and the open group;The short-term curative effects of the two groups were compared,the recovery time of bowel sounds in the laparoscopic group,the time of first air exhaust from the anus,the time of first fluid feeding,the time of first getting out of bed The length of hospitalization and hospitalization were shorter than that of the open group,and the difference was statistically significant(P<0.05).The postoperative sexual function of the two groups was evaluated.The erection and ejaculation function of the laparoscopic group was better than that of the open group 3 months after the operation(all P<0.05);the erection and ejaculation function of the laparoscopic group was6 months after the operation Better than the open group,the differences were statistically significant(all P<0.05).The erectile function of the laparoscopic group was better than that of the open group one year after the operation,and the difference was statistically significant(all P<0.05).The postoperative voiding function of the two groups was evaluated.The voiding function of the laparoscopic group was better than that of the open group 3 months after the operation,and the difference was statistically significant(P<0.05).The urinary function of the laparoscopic group was better than that of the open group at 6 months after operation,and the difference was statistically significant(all P<0.05).There was no significant difference in urination work between the laparoscopic group and the open group one year after the operation,and the difference was not statistically significant(P>0.05).Conclusion:Laparoscopic pelvic autonomic neuroprotection combined with total mesorectal resection has a better short-term effect than open total mesorectal resection for men with low rectal cancer,speeding up postoperative recovery;laparoscopic pelvic autonomic neuroprotection combined with total mesorectal resection Compared with open total mesorectal resection,it can better protect the pelvic autonomic nerves during the operation,it is more conducive to the early recovery of urination and sexual function in male patients after surgery.Laparoscopic pelvic autonomic neuroprotection combined with total mesorectal resection improves the quality of life of male patients after surgery,and is worthy of clinical application.