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目的:分析比较腹腔镜直肠癌根治术与传统根治术的临床效果。方法:选取80例直肠癌患者,分为腹腔镜根治术组和传统根治术组各40例,对两组病例资料进行回顾性分析,对患者的出血量、手术时间、麻醉程度、住院时间、淋巴结清扫数量以及住院费用进行比较研究。结果:腹腔镜根治术的出血量(123.45mL/379.28ml)、麻醉程度(以使用吗啡的量为衡量标准)(13.12mg/26.34mg)以及住院时间(7.12d/13.11d)明显短于传统根治术。但是两组患者在手术时间(163.32min/160.01min)、淋巴结清扫数量(13.12/12.34)以及总的住院费用上没有明显差异。结论:腹腔镜直肠癌根治术能够明显减少出血量,降低麻醉程度,缩短住院时间,有利于患者术后恢复,值得临床推广。
Objective: To analyze the clinical effects of laparoscopic rectal cancer radical surgery and traditional radical surgery. Methods: Eighty patients with rectal cancer were divided into 40 cases with laparoscopic radical surgery group and 40 cases with traditional radical surgery group. The data of the two groups were retrospectively analyzed. The patients’ blood loss, operation time, anesthesia level, length of stay, The number of lymph node dissections and hospitalization costs were compared. RESULTS: The amount of hemorrhage (123.45 mL/379.28 ml), the degree of anesthesia (measured by the amount of morphine used) (13.12 mg/26.34 mg), and length of stay (7.12d/13.11d) of laparoscopic radical surgery were significantly shorter than those of traditional Radical surgery. However, there was no significant difference between the two groups in the time of operation (163.32 min/160.01 min), the number of lymph node dissections (13.12/12.34) and the total hospitalization costs. Conclusion: Laparoscopic radical resection of rectal cancer can significantly reduce the amount of bleeding, reduce the degree of anesthesia, shorten the length of stay, is conducive to postoperative recovery, and is worthy of clinical promotion.