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目的比较腹腔镜与开腹直肠癌Dixin’根治术术后炎症反应与早期康复情况。方法 2010年5月~2014年2月,由同一手术组完成直肠癌Dixon’根治术腹腔镜组80例,开腹组58例,分析比较两组患者近期血中白细胞、中性粒细胞百分数、C-反应蛋白(CRP)。用t检验进行显著性检验。结果两组患者在术后第1d、第3d、第5d、第7d血中白细胞、中性粒细胞百分数、CRP差异无统计学意义。腹腔镜组患者术后排气时间、术后进食时间、术后住院天数均短于开腹组患者,差异有统计学意义。术后切口感染腹腔镜组少于开腹组,差异有统计学意义。结论腹腔镜直肠癌Dixon’根治术术后炎症反应与开腹手术相似。早期康复疗效优于开腹手术,具有创伤小、术后恢复快、并发症少等优势。
Objective To compare the inflammatory response and early recovery after laparoscopic and open rectal cancer Dixin ’radical surgery. Methods From May 2010 to February 2014, 80 patients undergoing Dixon ’laparoscopic radical resection of colorectal cancer and 58 patients undergoing laparotomy were performed in the same surgical group. The blood leukocyte and neutrophil percentage, C-reactive protein (CRP). The t test was used for significance test. Results There was no significant difference of leukocyte, neutrophil percentage and CRP between the two groups on the 1st, 3rd, 5th, 7th day after operation. The laparoscopic group of patients with postoperative exhaust time, postoperative eating time, postoperative hospitalization days were shorter than the open group of patients, the difference was statistically significant. Laparoscopic incision laparoscopic surgery group less than open group, the difference was statistically significant. Conclusions The inflammatory response after laparoscopic radical resection of Dixon ’radical resection is similar to that of laparotomy. Early rehabilitation is superior to laparotomy, with less trauma, faster recovery and fewer complications.