论文部分内容阅读
目的:探讨腹腔镜与开腹直肠癌全直肠系膜切除治疗直肠癌的临床疗效。方法:选择我院2012年12月~2013年12月行腹腔镜直肠癌根治术(A组)和开腹直肠癌全直肠系膜切除术(B组)的患者,各40例,比较两组患者手术时间、肠道排气时间、住院时间、术后下床时间、术后并发症和标本病理情况。结果:1相比B组,A组手术时间较长,术中出血量少,肠道排气时间短,住院时间短,术后下床活动时间短,术后并发症发生率低,差异有统计学意义(P<0.05)。2A、B两组淋巴结清扫数、切除标本长度、肿瘤距远切断、标本切缘情况比较差异无显著性(P均>0.05)。结论:腹腔镜手术相比开腹直肠癌系膜切除治疗直肠癌具有手术时间短、创伤小、术后恢复快,并发症少的优点,值得在临床上推广应用。
Objective: To investigate the clinical efficacy of total mesorectal excision for rectal cancer in laparoscopy and open rectal cancer. METHODS: We selected 40 patients with laparoscopic resection of rectal cancer (group A) and open rectal cancer with total mesorectal excision (group B) from December 2012 to December 2013 in our hospital. Operative time, intestinal exhalation time, length of stay, postoperative bed-out time, postoperative complications, and specimen pathology. Results: 1Compared with group B, group A had longer operation time, less intraoperative blood loss, shorter intestinal discharge time, shorter hospital stay, shorter postoperative ambulation time, and low incidence of postoperative complications. Statistical significance (P<0.05). There were no significant differences in the number of lymph node dissections, lengths of resected specimens, distant distances between tumors, and margins of specimens at 2A and B (all P>0.05). Conclusion: Laparoscopic surgery is more effective than open mesorectal resection in the treatment of rectal cancer with shorter operative time, less trauma, faster postoperative recovery, and fewer complications. It is worthy of clinical application.