›› 2017, Vol. 2 ›› Issue (8): 31-34.

• 临床医学 • 上一篇    下一篇

直肠癌腹腔镜根治术与传统根治术的对比研究

  

  1. (大理大学第一附属医院,云南大理671000)
  • 收稿日期:2015-12-23 出版日期:2017-08-15 发布日期:2017-08-15
  • 作者简介:邵宇,硕士研究生,主要从事普外科研究.

A Comparative Study between Laparoscopic Radical Resection and Conventional Open Surgery for
Rectal Cancer

  1. (The First Affiliated Hospital of Dali University, Dali, Yunnan 671000, China)
  • Received:2015-12-23 Online:2017-08-15 Published:2017-08-15

摘要:

目的:探讨腹腔镜直肠癌根治术的临床效果。方法:采集2010年10月至2013年10月腹腔镜下直肠癌根治术45例与开腹
直肠癌根治术53例患者的临床资料并对比分析。结果:98例手术全部顺利完成,腹腔镜组术中出血量、肠功能恢复时间、术后切
口感染率均少于开腹组(P<0.05),腹腔镜组手术时间长于开腹组(P<0.05)。腹腔镜组吻合口瘘率、吻合口出血率、术后腹腔出血
率与开腹组对比差异无统计学意义(P>0.05)。腹腔镜组术后2、3年复发率与开腹组对比差异无统计学意义(P>0.05)。结论:腹
腔镜结直肠癌根治术可以达到与传统结直肠癌根治术同样的根治效果,且创伤小,恢复快,是一项安全、可行的技术。

关键词: 直肠癌, 腹腔镜, 手术

Abstract:

Objective:To evaluate the advantages and disadvantages of laparoscopic surgery for colorectal cancer. Methods:
Clinical records of 45 patients of laparoscopic colorectal surgery from October 2010 to October 2013 were reviewed and compared with
those of 53 comparable patients on whom conventional open surgery was performed during the same period. Results:Intraoperative
blood loss, the time of recovery of bowel function and infection rate in laparoscopic group were significantly lower than those of the
control group with traditional open surgery(P<0.05). No significant differences were detected between two groups in the rate of
anastomotic leak, anastomotic bleeding and postoperative bleeding(P>0.05). There were no significant differences between two groups
in recurrence rate within 2 or 3 years after surgery(P>0.05). Conclusion:Laparoscopic surgery has the same effects as traditional
radical operation for colorectal cancer, and it is a safe and feasible technique with less surgical trauma and quicker recovery.

Key words: Colorectal cancer, laparoscopy, operation

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