开腹与腹腔镜直肠癌根治术临床对比研究

Comparative research on the usage of laparoscope and belly opening up in radical operation of rectal cancer

目的:对比研究腹腔镜与传统开腹直肠癌根治术在直肠癌治疗中的应用.方法:将2003年8月～2005年2月需行直肠癌根治术的患者根据其意愿分为腹腔镜组(28例)和传统开腹组(31例),对比两组手术安全性,术后恢复,肿瘤根治性和随访结果.结果:腹腔镜和开腹组均无手术死亡病例;腹腔镜组术中出血量明显少于开腹组,P=0.035;术后排气时间、下床时间、住院天数显著短于开腹组,P=0.041;两组生存时间、淋巴结清除数目,切口种植转移差异无统计学意义,P=0.065.结论:腹腔镜直肠癌根治术创伤小、恢复快、安全、有效,符合肿瘤根治原则.

OBJECTIVE： To research the application of laparoscope and belly opening up in radical operation of rectal cancer. METHODS： Fiftynine patients who had to he carried out the radial operation of rectal cancer from Aug. 2003 to Feb. 2005 were divided into two groups according to their wills. Then the safety,recovery after operation,effect of radical cure and follow-up results were compared. RESULTS： Among 28 patents in laparoscope group and 31 patients in belly opening up group, no one died from the operation. Hemorrhage in the laparoscope group was less than that of the other group, P=0. 035; purge gas time, off bed time,days in hospital after operation in the laparoscope group were also less than those in belly opening up group, P = 0. 041. There were no significant differences on survival time, lymph node elimination number and incision implantation metastasis between the two groups. P=0. 065. CONCLUSION： The usage of laparoscope in radical operation of rectal cancer goes well with less wound, less time to recover, and is safe and efficient.