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目的比较腹腔镜辅助与开腹全直肠系膜切除术在治疗直肠癌方面的短期疗效及并发症差异。方法 42例直肠癌患者,按照患者自愿选择手术方式不同分为腹腔镜组和开腹组,各21例。腹腔镜组患者采用直肠癌腹腔镜辅助手术治疗;开腹组患者采用开腹全直肠系膜切除术治疗。术后比较两组患者远期转移率、局部复发率、并发症发生率。结果两组患者局部复发率、远期转移率比较,差异均无统计学意义(P>0.05)。腹腔镜组粘连性肠梗阻发生率为0,低于开腹组的23.8%,差异有统计学意义(P<0.05);两组患者切口种植、切口疝发生率比较,差异均无统计学意义(P>0.05)。结论直肠癌腹腔镜辅助手术治疗较开腹全直肠系膜切除术治疗疗效更佳。
Objective To compare the short-term efficacy and complications of laparoscopic-assisted and open mesorectal excision in the treatment of rectal cancer. Methods Forty-two patients with rectal cancer were divided into laparoscopic group and laparotomy group according to the patients’ voluntary choice of operation method, 21 cases in each group. Patients in laparoscopic group were treated with laparoscopic assisted surgery for rectal cancer. Patients in laparotomy group were treated with open mesorectal excision. The postoperative long-term metastasis rate, local recurrence rate and complication rate were compared between the two groups. Results There was no significant difference in the local recurrence rate and long-term metastasis rate between the two groups (P> 0.05). The incidence of adhesive intestinal obstruction in laparoscopic group was 0, which was lower than that in open group (23.8%) (P <0.05). There was no significant difference in incision implantation and incisional hernia between the two groups (P> 0.05). Conclusion Laparoscopic assisted surgery for rectal cancer is more effective than open total mesorectal excision.