腹腔镜直肠癌根治术近期效果的初步临床研究

The short-term outcome of laparoscopic resection of rectal carcinoma:a clinical pilot study

目的:探讨腹腔镜直肠癌根治术的可行性及近期临床效果。方法:对2003年6月至2006年12月在我院行腹腔镜直肠癌根治术30例与开腹手术63例患者的临床资料进行回顾性分析。结果:腹腔镜组有3例中转开腹,平均手术时间长于开腹组,术后排气较快,住院时间较短,在失血量、并发症发生率、切除标本中淋巴结个数、下切缘距肿瘤下缘距离以及随访效果方面两组无明显差异。结论:腹腔镜直肠癌根治术对腹腔镜技术要求较高,安全可行,创伤小、术后恢复快,短期效果较为理想。

Objective：To study the feasibility and short-term outcome of laparoscopic radical resection of rectal carcinoma. Methods ：The clinical data of thirty cases who had undergone laparoscopic radical resection and 63 cases who had undergone open radical resection were retrospectively analyzed. Results：Three cases of the laparoscopic group were converted to open radical resection. The average operating time was significantly longer in laparoscopic group than that of open group. The passage of flatus occurred earlier in laparoscopic group and the hospitalization was shorter. There was no significent difference between the two studied groups with regard to the volume of bleeding, postoperative complications, the mean number of lymph nodes and length of lower resected margin to the tumor, the rate of relapse, metastasis, mortality in half a year after operation. Conclusions： Laparoseopie radical resection of rectal carcinoma is a feasible but technically demanding procedure. Its short-term outcome is better because of its security,less trauma and faster recovery.