腹腔镜与开腹手术治疗直肠癌的临床对照研究

Control study on the effect of laparoscopic operation and patefaction operation for rectal cancer

目的比较腹腔镜与传统开腹直肠癌手术的临床疗效。方法对2003年1月—2012年12月行腹腔镜下直肠癌手术100例与开腹直肠癌手术95例患者的术前临床资料和手术时间、术中失血量、淋巴结清扫数、胃肠功能恢复时间和自主排尿时间、术后住院时间、切口感染等进行比较。结果在术中失血量、术后胃肠功能恢复时间和自主排尿时间及术后住院时间方面腹腔镜组均小于开腹组,差异有统计学意义(P<0.05)。手术时间、淋巴结清扫数差异无统计学意义(P>0.05)。结论腹腔镜直肠癌手术具有创伤小、术后恢复快等优点,可以取得比开腹手术更好的根治效果。

Objective To compare the effect of laparoscopic operation and patefaction operation for rectal cancer. Methods The clinical data of 100 cases of laparoscopic operation and 95 cases of patefaction operation was analyzed. The operative time, blood loss, clearance of lymph nodes, the recovery time of gastrointestinal function and urination, the time of hospital stay after operation and infection of incision were compared between the two operative styles. Results The average blood loss in operation, the recovery time of gastrointestinal function and urination,the time of hospital stay after opera-tion of laparoscopic operation was less than those of pate-faction operation. There was significant difference between two operative style （P 〈 0.05）. But the operative time, the number of lymphonodus clearance had no significant difference （P 〉 0.05）. Conclusion Laparoscopic operation for rectal cancer has the advantages of little operation wound and recovering quickly, may obtain compared to patefaction operation better permanent control effect.