COMPARATIVE EVALUATION OF THE RESULTS OF LAPAROSCOPIC AND TRADITIONAL METHODS OF SURGICAL TREATMENT OF DOLICHOSIGMA

Objective: to compare laparoscopic sigmoid resection with intracorporeal colorectal anastomosis versus open surgery in patients with dolichosigma complicated by sigmoid volvulus. Materials and methods: a retrospective comparative study included 81 patients treated in an emergency surgical setting. The laparoscopic group comprised 41 patients and the open-surgery group 40 patients. Perioperative outcomes, Clavien–Dindo complications and functional results up to 6 months were analyzed. Results: laparoscopy was associated with shorter hospital stay, earlier bowel recovery and lower overall morbidity (22.0% vs 52.5%). Severe complications were observed only after open surgery. Conclusion: laparoscopic sigmoidectomy is a safe and clinically advantageous option for selected patients after decompression and stabilization.研究目的：对比乙状结肠冗长症（dolichosigma）合并乙状结肠扭转患者行腹腔镜乙状结肠切除术联合体内结直肠吻合术与开放手术的临床疗效。材料与方法：本研究为回顾性对照研究，纳入81例急诊外科收治的患者。其中腹腔镜组41例，开放手术组40例。分析两组患者的围手术期结局、克拉维埃-丁多（Clavien–Dindo）并发症分级系统相关并发症以及术后6个月内的功能恢复情况。结果：腹腔镜手术组患者住院时长更短、肠道功能恢复更早，且总体并发症发生率更低（22.0% vs 52.5%）；严重并发症仅见于开放手术组。结论：对于经减压处置与病情稳定后的符合手术指征患者，腹腔镜乙状结肠切除术是一种安全且具有临床优势的手术选择。