摘要
目的:探讨腹腔镜直肠癌手术的安全性、有效性与可行性。方法:回顾分析81例直肠癌患者的临床资料,分别行腹腔镜直肠癌根治手术和常规直肠癌根治手术,比较两组患者的手术时间、手术失血量、早期下床活动情况、拆线时间、住院费用、复发转移率。结果:腹腔镜组与开腹组患者手术时间分别为(2.0±0.2)、(1.9±0.3)h(P>0.05);失血量为(80±6)、(125±8)ml(P<0.05);术后开始下床活动时间分别为第(1.7±0.3)、(3.2±0.5)天(P<0.05);拆线时间分别为(8.3±1.3)、(11.5±1.8)d(P<0.05);住院费用为(25120±312)、(20453±269)元(P<0.05);转移率为4.65%、5.26%(P>0.05)。结论:腹腔镜直肠癌手术安全、有效、可行,与传统手术相比优势明显。
Objective： To evaluate the safety of laparoscopic rectal cancer surgery, effectiveness and feasibility. Methods： Retrospective analyzed of 81 cases clinical data of patients with rectal cancer, rectal cancer, respectively, laparoscopic surgery and conventional rectal cancer surgery, the patients were compared operative time, intraoperative blood loss, early ambulation activities, removal of stitches time hospital costs, recurrence rate. Results： The laparoscopic group and open group were operative time was （2.0±0.2）, （1.9±0.3） hours （P0.05）; blood loss （80±6）, （125±8） ml （P0.05）; postoperative ambulation time were beginning the first （1.7±0.3）, （3.2±0.5） days （P0.05）; stitches time was （8.3±1.3）, （11.5±1.8） days （P0.05）; hospital costs （25 120±312）, （20 453±269） per （P0.05）; transfer rate of 4.65%, 5.26% （P0.05）. Conclusion： Laparoscopic colorectal surgery is safe, effective and feasible, have obvious advantages compared with traditional surgery.
出处
《中国当代医药》
2010年第35期30-31,共2页
China Modern Medicine
关键词
直肠癌
腹腔镜手术
剖腹术
Rectal cancer
Laparoscopic surgery
Laparotomy
