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目的观察直肠癌通过腹腔镜与开腹全直肠系膜切除术治疗的临床效果。方法选取我院近来几年收治的直肠癌患者89例,按入院时间先后分为对照组(44例)、观察组(45例),给予对照组传统开腹全直肠系膜切除术,给予观察组腹腔镜全直肠系膜切除术,对比两组的手术学指标、并发症发生率。结果两组手术成功率达100%,观察组的手术时间、术中出血量、术后排气时间及住院时间均明显低于对照组,差异有显著性(P<0.05);观察组的并发症发生率显著小于对照组,差异有显著性(P<0.05)。结论腹腔镜全直肠系膜切除术治疗直肠癌效果优于开腹全直肠系膜切除术,同时还具备创伤小、术后恢复迅速等优势,值得各大医院临床推广应用。
Objective To observe the clinical effect of laparoscopic and open mesorectal excision for rectal cancer. Methods Eighty-nine patients with rectal cancer admitted to our hospital in recent years were divided into control group (n = 44) and observation group (n = 45) according to admission time. The control group received conventional open mesorectal excision and the observation group Laparoscopic total mesorectal excision, compared the two groups of surgical indicators, the incidence of complications. Results The success rate of operation in both groups was 100%. The operation time, intraoperative blood loss, postoperative exhaust time and hospital stay in observation group were significantly lower than those in control group (P <0.05) The incidence of disease was significantly less than that of the control group (P <0.05). Conclusion Laparoscopic total mesorectal excision for the treatment of rectal cancer is superior to open mesorectal excision, but also has the advantages of small trauma and rapid postoperative recovery, which is worthy of clinical application in major hospitals.