Clinical value of preoperative endoscopy in locating small colorectal tumors under laparoscopy
术前内镜在腹腔镜结直肠微小肿瘤定位的临床价值研究

摘要

目的 分析术前内镜在腹腔镜结直肠微小肿瘤定位的临床价值研究。方法 选择我院于2023年1月-2024年1月内收治的60例结直肠微小肿瘤患者为研究对象，根据内镜肿瘤定位时机分为对照组（30例，采取术中内镜）和观察组（30例，采取术前内镜），对两组患者的手术时间、通气时间、住院时间，定位准确率、术后腹胀率以及吻合口漏率进行对比与评估。结果 两组患者的住院时间和吻合口漏率以及定位精准率差异无统计学意义（P＞0.05）。观察组患者的手术时间、通气时间均短于对照组（P＜0.05）。观察组患者的术后腹胀率低于对照组（P<0.05）。结论 在对腹腔镜结直肠微小肿瘤患者实施术前内镜定位可取得明显的效果，显著缩短患者的手术时间和术后通气时间，降低术后腹胀率，有较高应用价值，值得临床推广应用。

Abstract

Objective Study on the clinical value of preoperative endoscopy in locating small colorectal tumors under laparoscopy.
Methods Sixty patients with colorectal small tumors admitted to our hospital from January 2023 to January 2024 were selected as the research subjects. According to the timing of endoscopic tumor localization, they were divided into a control group (30 cases, using intraoperative endoscopy) and an observation group (30 cases, using preoperative endoscopy). The surgical time, ventilation time, hospitalization time, localization accuracy, postoperative abdominal distension rate, and anastomotic leakage rate of the two groups of patients were compared and evaluated.
Results There was no statistically significant difference in hospitalization time and anastomotic leakage rate between the two groups of patients (P>0.05). The surgical time and ventilation time of the observation group patients were shorter than those of the control group (P<0.05). The positioning accuracy of the observation group was higher than that of the control group (P<0.05). The postoperative abdominal distension rate of the observation group was lower than that of the control group (P<0.05).
Conclusion   Preoperative endoscopic localization can achieve significant results in patients with laparoscopic colorectal small tumors, significantly shorten the patient's surgical time and postoperative ventilation time, and reduce postoperative abdominal distension rate. It has high application value and is worthy of clinical promotion and application.