直肠癌腹腔镜Dixon术与传统Dixon术的临床效果对比分析

Comparison of Laparoscopic and Openradical by Dixon of Rectal Carcinoma

目的:对比腹腔镜直肠癌Dixon术与传统Dixon术两种手术方式的优缺点。方法:对我院2005年9月至2010年8月期间326例行腹腔镜下直肠癌Dixon术与传统Dixon术的患者临床资料作回顾性对比分析。结果:腹腔镜直肠癌Dixon术手术时间、胃肠功能恢复和住院时间较传统开腹Dixon术时间短,术中出血量较传统Dixon术少,术后镇痛方面较传统手术有优越性,术后粘连性肠梗阻发生率较传统手术少、术后吻合口瘘发生率及肿瘤复发率两者无显著性差异。结论:腹腔镜直肠癌Dixon与传统Dixon手术相比,术中出血少,创伤小,术后恢复好,具有明确的微创优势,是安全可行的。

Objective：To investigate the advantages and disadvantages of laparoscopic Dixon of rectal carcinoma and openradical Dixon rectal carcinoma.Methods： The 326 cases of clinical data of Laparoscopic Dixon and openradical Dixon during September 2005 to August 2010 were retrospectively analyzed.Results： The operation time,recovery time of gastrointestinal function,hospitalization stay of laparoscopic group was shorter than that of the openradical group,the intra-operative blood loss of the laparoscopic group was obviously less than that of the open group（70±10 ml vs 120±15 ml,P〈0.01）,postoperative pain than traditional surgery has advantages,the incidence of postoperative adhesive intestinal obstruction less than traditional surgery and the incidence of postoperative anastomotic leakage,and tumor recurrence rate was no significant difference between the two.Conclusion： The openradical,laparoscopic group has less bleeding,less trauma and earlier recovery of function of these benefits and has advantage of minimally invasive.