Application research of labial suture combined with C-type tunnel extraperitoneal fistula in laparoscopic miles surgery for rectal cancer
SONG Mo
LI Yun
XI Shanshan
WANG Hong
LIU Jipan
Abstract：Objective To explore the application effect of labial suture combined with C-type tunnel extraperitoneal fistula in laparoscopic Miles surgery for rectal cancer.Methods A total of 200 patients with low rectal cancer who underwent laparoscopic Miles surgery for rectal cancer from March 2023 to December 2024 were collected and divided into a control group(surgical method of tubular stapler+intraperitoneal fistula)and an observation group(surgical method of labial suture+C-type tunnel extraperitoneal fistula),with 100 cases in each group.The surgery-related indicators,occurrence of complications,recurrence and death of the two groups of patients were compared.Results The time of the first bowel sound in the observation group was(2.02±0.21)days,the time of the first flatus was(3.04±0.27)days,the time of the first defecation was(4.12±0.21)days,and the length of hospital stay was(11.25±1.14)days.The levels of patients in the control group were(2.87±0.43)d,(3.95±0.59)d,(4.98±0.57)d and(14.28±2.05)d respectively.There were statistically significant differences between the two groups(all P<0.05).The incidence of complications in the observation group at 3 months and 6 months after the operation was 5.00%(5/100)and 3.00%(3/100)respectively,which was lower than that in the control group at the same period[22.00%(22/100),29.00%(29/100)](all P<0.05).No recurrence or death occurred in either group of patients.Conclusion Labial suture combined with C-tunnel extraperitoneal fistula can effectively improve perioperative related indicators in patients with low rectal cancer,accelerate the recovery of intestinal function after surgery,and reduce the incidence of complications.
Keywords：rectal cancerlabial sutureC-type tunnel extraperitoneal fistulalaparoscopic Miles surgery for rectal cancerapplication effect
Publication Date：2025-12-28
Online Publishing Date：2026-01-12(First online date of this platform, not the publication date of the document)
Pages：4( 1204-1207 )