A Comparative Study Of Perioperative Indicators Of Laparoscopic And Open Dixon Surgery

Objective:By observing the case data of 101 patients with rectal cancer,49 of whom underwent laparoscopic Dixon surgery and 52 underwent open Dixon surgery.The perioperative indicators and postoperative complications were compared to analyze the advantages and disadvantages of the two surgical methods in the short-term efficacy,and to explore the feasibility of laparoscopic Dixon surgery so as to provide guidance for patients to choose surgical methods.Methods:Consult relevant literature,analyze the characteristics of laparoscopic and open Dixon surgery,extract the perioperative indicators that may be affected by the operation method,and make an information questionnaire.Retrospectively collected between September 2015 and June 2019 clinic shihezi university school of medicine in the first affiliated hospital of parallel Dixon of cases of rectal carcinoma radical data,including: general data,such as the gender,age,tumor stage,tumor specimen length,number of lymph node cleaning,is apart from the specimens of incised edge distance operation,operation time,intraoperative blood loss,postoperative exhaust time,postoperative hospital stay,postoperative abdominal cavity flow,indwelling catheter time and other related indicators and intraoperative and postoperative incision infection,anastomotic fistula and postoperative complications of data,such as the adhesion sex intestinal obstruction.Patients with laparoscopic Dixon line operation should be brought into the cavity mirror group,Dixon line laparotomy surgery patients should be brought into the open group,use SPSS22.0statistical software for statistical data processing,using rank analysis and inspection measurement data,the count data of chi-square analysis,P < 0.05 for the difference was statistically significant.Results:1.There were no statistically significant differences in gender composition,tumor stage and age between the two groups(P > 0.05),and the two groups were comparable.2.There were no statistically significant differences between the two groups in the length of specimens,number of lymph nodes dissected and the distance between the tumor and the resection margin(P > 0.05).3.Compared with the open group,the endoscopic group had longer operation time,less intraoperative blood loss,shorter postoperative exhaust time,shorter hospitalization days,and shorter indwelling catheterization time,with statistically significant differences(P < 0.05).There was no statistically significant difference in postoperative intraperitoneal drainage between the two groups(P > 0.05).4.There was no statistically significant difference between the two groups in the incidence of postoperative complications including incision infection,anastomotic fistula and adhesive intestinal obstruction(P > 0.05).Conclusion :Both of the two surgical methods strictly follow the standard of radical tumor treatment.The advantages of laparoscopic Dixon surgery over open Dixon surgery are less trauma,faster postoperative recovery,shorter postoperative hospital stay,and longer operative time.There was no significant difference in the incidence of postoperative complications between the two surgical methods.After clinical evaluation,laparoscopic Dixon surgery is safe,feasible and worth popularizing in patients who meet the requirements of laparoscopic surgery.