论文部分内容阅读
目的评估腹腔镜直肠癌手术的可行性及肿瘤远期疗效。方法将腹腔镜直肠癌手术32例设为观察组,开腹手术68例设为对照组,比较2组患者的手术时间、手术出血量、淋巴结数目、肛门排气时间、术后住院时间、术后并发症、术后局部复发、远处转移、无瘤生存率及总生存率,对上述临床资料进行回顾性分析。结果腹腔镜组和开腹手术组在出血量、肛门排气时间、术后住院时间方面,前者优于后者(P<0.05);2组手术时间,淋巴结数目及术后并发症发生率差异无统计学意义,术后3年局部复发率、远处转移、无瘤生存率及总生存率,2组之间的差异无统计学意义(P>0.05)。结论腹腔镜直肠癌的治疗技术是可行的,而且术后恢复快,与开腹手术的远期疗效差异无统计学意义。
Objective To evaluate the feasibility of laparoscopic surgery for rectal cancer and the long-term efficacy of the tumor. Methods 32 cases of laparoscopic rectal cancer surgery as the observation group, 68 cases of open surgery as a control group, the two groups of patients were compared operation time, blood loss, lymph node number, anal exhaust time, postoperative hospital stay, surgery Postoperative complications, local recurrence, distant metastasis, tumor-free survival rate and overall survival rate, the above clinical data were retrospectively analyzed. Results The former was better than the latter in terms of the amount of bleeding, anal exhaust time and postoperative hospital stay in laparoscopic group and laparotomy group (P <0.05). The difference of operative time, the number of lymph nodes and the incidence of postoperative complications There was no significant difference between the two groups (P> 0.05). There was no significant difference between the two groups in the local recurrence rate, distant metastasis, tumor-free survival rate and overall survival rate after 3 years. Conclusion The treatment of laparoscopic rectal cancer is feasible, and postoperative recovery fast, and long-term efficacy of open surgery was no significant difference.