关键词: 直肠肿瘤, Miles术, 腹腔镜, 马镫形腿架

Abstract: Objective To explore the effect of staged placement in laparoscopic radical operation of rectal cancer in the elderly. Methods A total of 97 elderly patients undergoing laparoscopic Miles operation from January 2018 to December 2019 in our hospital were enrolled in this study, among which 45 patients from January to December 2018 were divided into the control group and 52 patients from January to December 2019 were divided into the study group. In the control group, the modified leg supporting frame was used throughout the operation. In the study group, the stirrup pneumatic leg supporting frame was used, and the whole operation was roughly divided into three stages, and the corresponding operation position was adopted at different stages. The incidence of postoperative lower extremity swelling and deep vein thrombosis, the comfort of lower extremity and the satisfaction for the operation position of the operator were compared between the two groups. Results The incidence of lower extremity swelling in the study group was lower than that in the control group 24 h after operation, and the comfort degree of lower extremity and the satisfaction degree of the operator for the operation position were better than those in the control group, with significant difference (P<0.05); There was no deep vein thrombosis in the two groups 72 hours after operation. Conclusions The placement of the elderly patients in different stages can not only reduce the incidence of complications and increase the postoperative comfort, but also fully expose the operation site and facilitate the operation.

Key words: rectal tumor, Miles operation, laparoscopy, stirrup leg frame