摘要
目的:评价腹腔镜直肠癌根治术的临床应用价值及疗效。方法:回顾分析77例直肠癌患者的临床资料,其中35例行腹腔镜直肠癌根治术,42例行开腹直肠癌根治术。对比分析两组患者术中失血量、手术时间、术后恢复情况、术后并发症、直肠全系膜切除情况、淋巴结清除数量、保肛率、术后排尿功能等。结果:77例直肠癌根治术均获成功,腹腔镜组无一例中转开腹。术中出血量、术后下床活动时间、胃肠功能恢复时间、直肠系膜切除质量腹腔镜组显著优于开腹组;手术时间腹腔镜组长于开腹组;保肛率、淋巴结清除数量、术后并发症发生率及术后排尿功能两组差异无统计学意义。结论:腹腔镜直肠癌根治术微创、安全、有效,患者术后下床活动时间、胃肠功能恢复、住院时间及术中失血量、直肠系膜切除质量均优于开腹手术。
Objective：To evaluate the clinical value and curative effect of laparoscopic radical resection of rectal cancer.Methods：The clinical data of 35 patients who underwent laparoscopic radical resection of rectal cancer and 42 patients who underwent open surgery were retrospectively analyzed.The operation time,intraoperative blood loss,postoperative recovery,postoperative complications,total mesorectal excision,removal of lymph nodes,anus preserving rate,postoperative urination function were comparatively studied.Results：All 77 cases of radical resection of rectal cancer were successful and no laparotomy was performed in the laparoscopic group.There were significant differences between the laparoscopy and open groups in terms of blood loss,postoperative ambulation time,gastrointestinal function recovery time,mesorectal excision quality and operation time.No significant difference was found between the two groups in terms of the anus preserving rate,number of lymph nodes removed,the incidence of postoperative complications and postoperative urination function.Conclusions：Laparoscopic radical resection of rectal carcinoma is minimally invasive,safe,effective,and has advantages in terms of postoperative ambulation time,gastrointestinal function recovery,hospital stay,intraoperative blood loss and mesorectal excision quality compared with the open surgery.
出处
《腹腔镜外科杂志》
2012年第5期371-374,共4页
Journal of Laparoscopic Surgery
关键词
直肠肿瘤
直肠癌根治术
腹腔镜检查
剖腹术
全直肠系膜切除
病例对照研究
Rectal neoplasms
Radical resection of rectal cancer
Laparoscopy
Laparotomy
Total mesorectal excision
Case-control study
