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目的 探究直肠癌新辅助放化疗后腹腔镜与开腹手术临床治疗效果,比较两种手术后患者并发症发生率.方法随机选取我院2012G6-2016G6收治的126例直肠癌患者,按照双盲随机均分原则,将所有患者分为实验组与对照组,两组患者在术前均行新辅助放化疗治疗,其中对照组63例患者行传统开腹根治术,实验组63例患者行腹腔镜根治术,比较两组患者术后排气时间、平均卧床时间、平均住院时间以及术后并发症的发生情况.结果 实验组患者术后排气时间、平均卧床时间、平均住院时间均明显少于对照组.术后实验组并发症明显低于对照组(63%vs127%).结论 对于手术前行新辅助放化疗后给予腹腔镜根治术的直肠癌患者,术后肠梗阻、切口感染等并发症的发生率较低.
Objective To investigate the clinical effect of laparoscopy and laparotomy after neoadjuvant chemoradiotherapy for rectal cancer and to compare the incidence of complications after surgery.Methods 126 cases of rectal cancer were randomly selected from our hospital 2012G6-2016G6, All patients were divided into experimental group and control group. Both groups underwent neoadjuvant radiotherapy and chemotherapy before operation, 63 patients in control group underwent traditional radical mastectomy. In the experimental group, 63 patients underwent laparoscopy Radical operation, postoperative exhaust time, average bed rest time, average length of hospital stay and postoperative complications were compared between the two groups.Results The exhaust time, average bed rest time and average length of stay in the experimental group were significantly less than (63% vs 127%) .Conclusion For patients with rectal cancer who underwent laparoscopic radical nephrectomy after surgery, postoperative intestinal obstruction, incision infection and other complications The incidence of disease is low.