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随着微创外科的迅速发展,腹腔镜手术也被尝试用来治疗结、直肠癌疾病。这种新型的手术方法在国内正在开展。本文通过回顾近年的相关文献,侧重于随机对照试验及一些大宗报告的数据分析,对腹腔镜结直肠癌手术中转开腹率、肿瘤学治疗效果、并发症、生存率等作出简要评价。腹腔镜手术具有切口小、术后疼痛轻、恢复快等优点,肿瘤治疗短期疗效与开腹手术相比无明显差别,但是长期疗效的评价尚缺乏大宗随机对照试验结果。
With the rapid development of minimally invasive surgery, laparoscopic surgery has also been tried to treat tuberculosis and colorectal cancer. This new surgical method is underway in China. This article reviews the literature in recent years, focusing on randomized controlled trials and data analysis of some large reports, to laparoscopic surgery in patients with conversion rate of laparotomy, oncology treatment, complications, survival rates made a brief assessment. Laparoscopic surgery with small incision, postoperative pain, rapid recovery, short-term efficacy of tumor treatment and open surgery compared with no significant difference, but the long-term efficacy of the evaluation is still lack of bulk randomized controlled trial results.