论文部分内容阅读
目的评估低位直肠癌的腹腔镜辅助下手术是否优于传统的腹会阴联合切除术。方法研究组在５９例连续入院的患者中选择２４例进行腹腔镜辅助下腹会阴联合切除术，研究组与其他３４例用传统方法手术的患者（对照组）进行比较。结果研究组和对照组分别随访３０．１个月和２８．３个月。研究组较对照组手术时间明显延长（Ｐ＜０．００１），而术中出血量（Ｐ＝０．０２）和术后镇痛剂的需要量（Ｐ＝０．０２）明显少于对照组，恢复正常饮食的时间（Ｐ＝０．０４）和总住院时间（Ｐ＝０．０２）明显短于对照组。两组的肿瘤清除情况、并发症发生率、无瘤间期和生存率无明显差别。结论腹腔镜辅助下腹会阴联合切除术与传统手术比较术后恢复较快，而肿瘤清除情况、并发症、病死率、无瘤间期以及生存率无明显差别。
Objective To evaluate whether laparoscopically assisted lower rectal cancer is superior to conventional abdominal perineal resection. METHODS: Twenty-four patients in the study group who underwent continuous admission were selected for laparoscopically assisted abdominal perineal resection. The study group was compared with 34 patients who were treated with traditional methods (control group). Results The study group and the control group were followed up for 30.1 months and 28.3 months respectively. The operative time was significantly longer in the study group than in the control group (P<0.001), while the intraoperative blood loss (P=0.02) and postoperative analgesic requirement (P=0.02) were significantly less than the control group. The time to resume normal diet (P=0.04) and total length of stay (P=0.02) were significantly shorter than those of the control group. There was no significant difference in tumor clearance, complication rate, no-tumor interval and survival rate between the two groups. [Conclusion] Laparoscopic assisted abdominal perineal resection combined with traditional surgery has a faster recovery, but there is no significant difference in tumor clearance, complications, mortality, no tumor interval and survival rate.