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目的:探讨腹腔镜辅助下直肠癌前切除术与同期开腹手术对合并2型糖尿病患者短期疗效。方法:回顾性分析2年间解放军总医院实施直肠癌前切除术的97例患者的临床资料。其中43例行腹腔镜手术(腔镜组),54例行传统开腹手术(开腹组),比较两组术中及术后情况。结果:与开腹组比较,腔镜组术中失血量、切口长度、排气时间、开始进流食时间及术后住院天数均优于开腹组(均P<0.01),且总并发症发生率低于开腹手组(P=0.0479)。两组手术时间、淋巴结清扫个数及术后镇痛泵使用例数差异均无统计学意义(均P>0.05)。结论:腹腔镜直肠癌前切除术能有效减少直肠癌合并2型糖尿病患者术后并发症发生率,该术式对治疗直肠癌合并2型糖尿病是安全可行的,可作为首选术式。
Objective: To investigate the short-term curative effect of laparoscopic-assisted anterior resection of rectal cancer and open laparoscopic surgery on patients with type 2 diabetes mellitus. Methods: The clinical data of 97 patients undergoing rectal precancerous resection in PLA General Hospital in 2 years were retrospectively analyzed. Among them, 43 cases underwent laparoscopic surgery (laparoscopic group) and 54 cases underwent conventional laparotomy (open group). The intraoperative and postoperative conditions were compared between the two groups. Results: Compared with the open group, the blood loss, incision length, exhaust time, inflow into the laparoscopic group and postoperative hospital stay were better than those in the open group (all P <0.01), and the total complication rate The rate was lower in the open hand group (P = 0.0479). There was no significant difference between the two groups in the operation time, the number of lymph node dissection and the number of postoperative analgesia pumps (all P> 0.05). Conclusions: Laparoscopic resection of anterior resection of colorectal cancer can effectively reduce the incidence of postoperative complications in patients with rectal cancer and type 2 diabetes mellitus. This procedure is safe and feasible for the treatment of type 2 diabetes mellitus with rectal cancer, and can be used as the preferred method.