杨利民

    【摘 要】目的：探究经腹直肠癌根治术(TME)中保留左结肠动脉研究。方法：选择130例TME手术患者进行研究。将其根据是否保留左结肠动脉来划分组别，并执行对应的手术操作。最后对两组围手术期指标等进行比较。结果：从围手术期相关指标对比，除了在手术用时、出血量上无明显差异，其他指标均是保留组的情况更佳(P<0.05)。其次，保留组初次排气、排便时间更短(P<0.05)。最后，据随访调查可知，保留组局部复发率为1.54%、远处转移率6.15%，恢复率98.46%；非保留组分别为1.54%、3.08%、92.31%(P<0.05)。结论：在TME手术中保留左结肠动脉，能够加快患者吻合口的愈合，提升恢复率，当然也对其胃肠功能改善起到积极作用。

    【关键词】直肠癌；TME；左结肠动脉；胃肠道功能

    Clinical study of preservation of the left colic artery during transabdominal resection for rectal cancer

    Yang limin

    Qianxi People’s Hospital， Tangshan Hebei 064300， China

    【Abstract】Objective：To study the preservation of left colonic artery in transabdominal radical resection (TME) for rectal cancer. Methods： 130 patients with TME were studied. They were divided into groups according to whether to retain the left colonic artery ......