摘要
目的探讨腹腔镜全直肠系膜切除根治术(TME)的安全性及短期疗效。方法将60例直肠癌患者分为开腹组(32例)和腹腔镜组(28例)进行全直肠系膜切除根治术,并对其临床效果进行对比分析。结果开腹组和腹腔镜组手术均顺利完成。2组平均手术时间差异无显著性(P>0.05);2组手术并发症发生率差异无显著性(P>0.05);2组清扫淋巴结数量差异无显著性(P>0.05)。开腹组术中出血量明显高于腹腔镜组(P<0.05);术后住院时间明显长于腹腔镜组(P<0.05);肠道功能恢复时间明显晚于腹腔镜组(P<0.05)。结论腹腔镜TME根治术具有创伤小、安全、术后恢复快的优点,可达到开腹根治肿瘤的效果,是一极具应用前景的微创新技术。
Objective To investigate the safety and short--term efficacy of rectal cancer treated by laparoscopic total mesorectal excision （TME）.Methods A series of 60 rectal cancer patients were divided into laparotomy TME group（32cases） and laparoscopic TME group （28 cases）,and compare their clinical results analysis. RUSUltS Laparotomy group and laparoscopic group surgery were successfully completed.The mean operative time of two groups no significant difference（P〈0.05）;Two surgical complication rate of two groups no significant difference（P〈0.05）.The number of two groups lymph node dissection no significant difference（P〈0.05）.Blood loss of laparotomy group was significantly higher than the laparoscopic group（P〈〈0.05）〈 Postoperative hospital stay was significantly longer than the laparoscopic group（P〈〈0.05）〈Intestinal function recovery time was significantly later than the laparoscopic group（P〈0.05）. Conclusion The laparoscopic surgery of total mesorectal excision has invasive, safe, rapid postoperative recovery, and achieve the effect of abdominal tumor cure,is a very promising micro--innovation.
出处
《中外医疗》
2012年第4期22-23,共2页
China & Foreign Medical Treatment
关键词
直肠癌
腹腔镜
全直肠系膜切除术
Rectal cancer
Laparoscopy〈Total mesorectal excision
