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目的对比分析腹腔镜与开腹直肠癌全系膜切除术的手术近期效果和并发症。方法 60例直肠癌患者,随机分为观察组和对照组,各30例,观察组采取腹腔镜手术,对照组采取开腹手术,观察记录两组的疗效以及术后并发症情况。结果观察组术中出血量、术后排气时间、住院时间明显少于对照组,差异具有统计学意义(P<0.05);观察组的并发症发生率明显低于对照组,差异具有统计学意义(P<0.05)。结论腹腔镜直肠癌全系膜切除术临床疗效确切,优于常规开腹手术,值得临床应用推广。
Objective To compare and analyze the short-term results and complications of laparoscopic and open surgery for total mesorectal excision. Methods Sixty patients with rectal cancer were randomly divided into observation group and control group, with 30 cases in each group. Laparoscopic surgery was performed in the observation group and laparotomy in the control group. The curative effect and postoperative complications were observed and recorded. Results The intraoperative blood loss, postoperative exhaust time and hospitalization time in observation group were significantly less than those in control group (P <0.05). The complication rate in observation group was significantly lower than that in control group Significance (P <0.05). Conclusions Laparoscopic total mesorectal excision resection of the clinical curative effect is better than conventional laparotomy, it is worth promoting the clinical application.