腹腔镜手术治疗直肠癌50例疗效观察

The clinical efficacy of laparoscopic rectal resection in 50 patients with rectal cancer

目的探析腹腔镜手术与开腹直肠癌根治术治疗直肠癌的效果。方法回顾性分析本科收治的90例直肠癌患者的临床资料,随机分为两组,开腹组(n=40)行开腹直肠癌根治术,腹腔镜组(n=50)采用腹腔镜根治术治疗,比较两组患者围手术期各项指标差异。结果两组患者的平均手术时间比较差异无统计学意义(P>0.05);腹腔镜组的术中出血量、术后肠功能恢复时间、住院时间均优于开腹组,差异有统计学意义(P<0.05);开腹组发生手术并发症共12例(30.0%),腹腔镜组手术并发症4例(8.6%),腹腔镜组手术并发症发生率低于开腹组,差异有统计学意义(P<0.05)。结论腹腔镜直肠癌切除术是治疗直肠癌的理想术式,具有手术创伤小、恢复快、并发症发生率低的优点。

Objective To evaluate the clinical effect between iapamscopic and open radical operation in patients with rectal cancer. Methods 90 cases were divided into 2 groups by random. The open resection group （ n = 40） took the pen radical operation. The laparoscopic rectal resection group （ n = 50） took laparoscopic rectal resection. The results after the operation between 2 groups of patients were compared. Results There was no significant different between 2 groups in the average operative duration （ P 〉 0. 05 ）. The bleeding of vagina and the recovery time of bowel motility and the length of stay of the laparoscopic rectal resection group were much better than the open resection group （ P 〈 0. 05 ）. The complications rates of the laparoscopic rectal resection group were much lower than the open resection group （P 〈 0. 05 ）. Conclusion The laparoscopic rectal resection is the treatment of rectal cancer in the operation, with less trauma, quicker recovery, complication rate is low. it can be applied to patients with rectal cancer.