腹腔镜与传统开腹术治疗直肠癌的手术并发症比较

Comparison of the complications of treatment of rectal cancer by laparoscopic versus conventional laparotomy procedure

目的分析腹腔镜下全系膜切除术(TME)与开腹TME手术治疗直肠癌在并发症发生率方面的差别。方法回顾4 3例腹腔镜和5 0例传统开腹手术治疗直肠癌患者的临床资料,分析并发症的发生原因及其发生率。结果腹腔镜治疗组较传统开腹组在术后肠功能恢复、早期下床活动、住院时间等方面均占优势。在术中损伤、吻合口瘘、术后性功能保护、排尿功能障碍、局部复发和切口转移上与传统开腹组均无明显差别。结论腹腔镜下TME治疗直肠癌的效果同传统开腹术,术后患者自觉症状较开腹手术良好。

Objective To compare the postoperative complications rate of total mesorectal excision （TME） performed by laparoscopic and conventional laparotomy method in treatment of rectal cancer. Methods The clinical data of patients with rectal cancer treated by laparoscopic surgery （ n = 42 ） or traditional laparotomy （ n = 50 ） were retrospectively analysed to analysis of the cause and occurrence rate of complications. Results The laparoscopic group had an advantage over the conventional laparotomy group in bowel movement recovery, earlier mobility and short hospital stay time. There was no difference in intraoperative injury, anastomotie leakage, sexual function preservation, long-term urinary dysfunction, and local recurrence or incision metastasis rates. Conclusions Laparoscopic TME treatment of recital cancer had the same therapeutic effect as the conventional laparotomy procedure did, and has a better subjective outcome.