河北医科大学学报 ›› 2023, Vol. 44 ›› Issue (7): 809-813.doi: 10.3969/j.issn.1007-3205.2023.07.012

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双通道负压吸引器在腹腔镜直肠癌根治术中应用的临床价值研究

  

  1. 江苏省肿瘤医院，江苏省肿瘤防治研究所，南京医科大学附属肿瘤医院手术室，江苏 南京 210008

  • 出版日期:2023-07-25 发布日期:2023-07-24
  • 作者简介:丁洪瑞（1988-），男，江苏邳州人，江苏省肿瘤医院主管护师，医学学士，从事结直肠癌护理研究。
  • 基金资助:
    国家自然科学基金青年项目（81602145,to L.Y.）；江苏省自然科学基金面上项目（BK20171509 to L.Y.）

Clinical value of dual-channel negative pressure aspirator used in laparoscopic radical resection of rectal cancer

  1. Department of  Operating Room，Jiangsu Cancer Hospital, Jiangsu Institute of Cancer Research, 
    Nanjing Medical University Affiliated Cancer Hospital, Jiangsu Province, Nanjing 210008, China

  • Online:2023-07-25 Published:2023-07-24

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摘要： 目的 探讨新型双通道负压吸引器在腹腔镜直肠癌根治术中应用的临床价值研究。
方法 本院首诊并接受腹腔镜直肠癌根治术的102例患者，应用随机数字表法分为观察组和对照组（n=51），2组患者手术均由相同手术团队完成，对照组患者术中采用常规的单通道负压吸引器，观察组患者术中使用新型腹腔镜手术用双通道负压吸引器，对术中患者体内手术烟雾以及多余的CO2持续负压吸引，对比2组患者术中消除烟雾效果、手术情况、术后恢复情况和并发症发生率。
结果 观察组患者术中擦镜次数较对照组显著减少（P＜0.05），并且观察组患者术中手术视野质量显著优于对照组（P＜0.05）；观察组患者消化道重建时间、手术时间、术中出血量和建立气腹后ETCO2均较对照组显著降低（P＜0.05）；观察组患者术后引流量较对照组显著降低（P＜0.05），首次排气时间、首次下床活动时间、导尿管留置时间以及术后住院时间较对照组有降低的趋势，但差异无统计学意义（P＞0.05）；对照组和观察组术后并发症总发生率差异无统计学意义（P＞0.05）。
结论 在腹腔镜直肠癌根治术中应用双通道负压吸引器具有良好的消除烟雾效果，减少擦镜次数并改善手术视野质量，有助于缩短手术进程，并且未增加患者术后并发症的发生率，具有较高的临床使用价值。


关键词: 直肠肿瘤, 腹腔镜检查, 双通道负压吸引器

Abstract: Objective To investigate the clinical value of a new dual-channel negative pressure aspirator in laparoscopic radical resection of rectal cancer. 
Methods A total of 102 patients who initially underwent laparoscopic radical resection of rectal cancer in our hospital were randomly divided into observation group (n=51)and control group (n=51) according to random number table. Patients in the two groups were operated by the same operation team. The conventional single-channel negative pressure aspirators were used in the laparoscopic resection of patients in control group, and new dual-channel negative pressure aspirators were used in the laparoscopic resection of patients in observation group. Continuous negative pressure suction of surgical smoke and excess CO2 in the body of patients during surgery was performed. The surgical smoke removal effect, operation condition, postoperative recovery and complication incidence rate were compared between two groups. 
Results The times of lens wiping in observation group were significantly decreased than those in control group (P＜0.05), and the quality of visual field in observation group was significantly superior to that in control group (P＜0.05). The digestive tract reconstruction time, duration of operation, intraoperative bleeding and ETCO2 after pneumoperitoneum creation in observation group were significantly lower than those in control group (P＜0.05). The postoperative drainage in observation group was significantly lower than that in control group (P＜0.05), and the first time of anal exhaust, the first time of off-bed activity, the duration of indwelling catheter and the length of postoperative hospitalization had the decreasing tendency, as compared with those in control group, showing no significant difference (P＞0.05). No significant difference was found in the total incidence of postoperative complications in control group and observation group (P＞0.05). 
Conclusion The application of dual-channel negative pressure aspirator in laparoscopic radical resection of rectal cancer has a good effect of eliminating surgical smoke, reducing the times of lens wiping and improving the quality of visual field, which is helpful to shorten the operation process without increasing postoperative complications incidence, and has a high clinical value.


Key words: rectal neoplasms, laparoscopy, dual-channel negative pressure aspirator

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