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目的:分析腹腔镜直肠癌根治术的疗效及安全性。方法:选择2011年6月-2014年2月我院收治的88例直肠癌患者。将接受腹腔镜直肠癌根治术的50例患者作为腹腔镜组,接受开腹直肠癌根治术的38例患者作为开腹组,观察两组疗效及并发症。结果:两组手术时间、术中出血量比较,差异有统计学意义(P<0.05)。肿块切缘、淋巴结清扫总数及不良反应发生率比较,差异无统计学意义(P>0.05)。腹腔镜组切口长度,需镇痛的例数均优于开腹组(P<0.05)、术后排气时间、进食时间、下床时间、住院天数均短与开腹组,两组比较,差异具有统计学意义(P<0.05),结论:使用腹腔镜直肠癌根治术治疗直肠癌疗效确切,根治性令人满意。
Objective: To analyze the efficacy and safety of laparoscopic radical resection of rectal cancer. Methods: 88 patients with rectal cancer admitted to our hospital from June 2011 to February 2014 were selected. Fifty patients undergoing laparoscopic radical resection of rectal cancer as a laparoscopic group and 38 patients undergoing open radical resection of rectal cancer as an open group. The curative effect and complications of the two groups were observed. Results: There was significant difference between the two groups in operation time and intraoperative blood loss (P <0.05). There was no significant difference in the margin of tumor, the total lymph node dissection and the incidence of adverse reactions (P> 0.05). The length of laparoscopic incision, the number of cases requiring analgesia were better than that of laparotomy (P <0.05). The time of extubation, feeding time, bed time and length of hospital stay were shorter than those in laparotomy group. The difference was statistically significant (P <0.05), Conclusion: The use of laparoscopic radical resection of rectal cancer for the treatment of rectal cancer is exact and radical satisfactory.