Shen LZ, Li W, Liu ZL, Wang N, Liu YF, Miao LL. Evaluating the clinical application and effect of acupuncture therapy in anal function rehabilitation after low-tension rectal cancer surgery. World J Clin Cases 2024; 12(18): 3476-3481 [PMID: 38983413 DOI: 10.12998/wjcc.v12.i18.3476]
Corresponding Author of This Article
Ling-Ling Miao, Doctor, Master's Student, Department of Digestive Surgery, Hebei Province Hospital of Traditional Chinese Medicine, No. 389 Zhongshan East Road, Shijiazhuang 050000, Hebei Province, China. maoll20241073@163.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Randomized Controlled Trial
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Shen LZ, Li W, Liu ZL, Wang N, Liu YF, Miao LL. Evaluating the clinical application and effect of acupuncture therapy in anal function rehabilitation after low-tension rectal cancer surgery. World J Clin Cases 2024; 12(18): 3476-3481 [PMID: 38983413 DOI: 10.12998/wjcc.v12.i18.3476]
Li-Zhong Shen, Wei Li, Zhan-Lun Liu, Ni Wang, Yan-Feng Liu, Ling-Ling Miao, Department of Digestive Surgery, Hebei Province Hospital of Traditional Chinese Medicine, Shijiazhuang 050000, Hebei Province, China
Author contributions: Shen LZ and Li W contributed equally to this work; Shen LZ, Li W, Liu ZL, Wang N, Liu YF, and Miao LL designed the study; Shen LZ, Li W, Liu ZL, Wang N, Liu YF, and Miao LL contributed to the analysis of the manuscript; Shen LZ and Li W involved in the data and writing of this article; and all authors have read and approved the final manuscript.
Supported bythe Government Subsidizes Special Funds for Outstanding Health Talents, No. 0700000042.
Institutional review board statement: The study was reviewed and approved by the Institutional Review Board of Hebei Provincial Hospital of Traditional Chinese Medicine.
Clinical trial registration statement: This study is registered at Clinical Trial Center (www.researchregistry.com). The registration identification number is researchregistry10224.
Informed consent statement: All study participants and their legal guardians provide informed written consent before the study recruitment.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Data sharing statement: No additional data are available.
CONSORT 2010 statement: The authors have read the CONSORT 2010 statement, and the manuscript was prepared and revised according to the CONSORT 2010 statement.
Corresponding author: Ling-Ling Miao, Doctor, Master's Student, Department of Digestive Surgery, Hebei Province Hospital of Traditional Chinese Medicine, No. 389 Zhongshan East Road, Shijiazhuang 050000, Hebei Province, China. maoll20241073@163.com
Received: March 10, 2024 Revised: April 23, 2024 Accepted: May 7, 2024 Published online: June 26, 2024 Processing time: 99 Days and 20.9 Hours
Abstract
BACKGROUND
According to the indexes of serum and anal function, acupuncture therapy was applied to patients with low rectal cancer in order to avoid the occurrence of anal incontinence and reduce complications.
AIM
To explore the clinical application and evaluate the effect of acupuncture therapy for anal function rehabilitation after low-tension rectal cancer surgery.
METHODS
From the anorectal surgery cases, we selected 120 patients who underwent colorectal cancer surgery between January 2020 and December 2022 and randomly divided them into a control group (n = 60), observation group (n = 60), and control group after surgery for lifestyle intervention (including smoking cessation and exercise), dietary factor adjustment, anal movement, and oral loperamide treatment. The serum levels of motilin, 5-hydroxytryptamine, and vasoactive intestinal peptide (VIP), Wexner score for anal incontinence, and incidence of complications were compared between groups.
RESULTS
After treatment, the VIP and 5-hydroxytryptamine levels in the observation group were lower than those in the control group (P < 0.05). The motilin level was higher than that in the control group (P < 0.05). Postoperative anal incontinence was better in the observation group than in the control group (P < 0.05). The incidence of complications in the observation group was 6.67%, which was significantly lower than that in the control group (21.67%; P < 0.05).
CONCLUSION
Acupuncture therapy has a positive effect on the rehabilitation of anal function after low-tension rectal cancer surgery; it can effectively help to improve the serum indices of patients, avoid the occurrence of anal incontinence, and reduce the incidence of complications. Popularizing and applying it will be valuable.
Core Tip: Acupuncture therapy post low-tension rectal cancer surgery improves serum markers, reduces anal incontinence, and lowers complication rates. Its application is valuable for enhancing anal function recovery.
