腹腔镜下直肠癌根治术24例临床报告

Clinic study of laparoscopic rectal radical excision: report of 24 cases

目的:探讨腹腔镜下直肠癌根治术的安全性及可行性。方法:对2007年1月至2011年6月,24例行腹腔镜下直肠癌根治术与同期51例行开腹直肠癌根治术患者进行手术情况、近期疗效、手术根治程度以及随访1年内并发症情况进行回顾性比较。结果:二者在保肛率、清扫淋巴结以及近远期并发症方面无统计学差异(P>0.05)。在手术失血量、术后排气时间、术后拔尿管时间、术后住院天数以及直肠肿瘤远端切缘方面,腹腔镜组优于开腹组(P<0.01)。在手术时间方面,开腹组优于腹腔镜组(P<0.01)。结论:腹腔镜下直肠癌根治术的根治性及安全性达到传统开腹手术标准,具有可行性。

Objective： To investigate the safety and feasiblity of the laparoscopic rectal radical excision. Methods： We made a retrospective study of 75 patients of rectal cancer from January 2007 to June 2011,24 patients treated by laparoscopic rectal radical excision were the experiment group, the other 51 patients treated with open surgery were the control group. Results：There were no statistical differences in the probability of anus reservation, the number of the average cleaned lymph nodes, long and short term complications between the two groups （ P 〉 0.05 ）. There were sta- tistical differences in the amount of bleeding during operation, anal exhaust time, hospital stay, the time of remove catheter after operation and the length of distal clearance between the two groups（P 〈 0.01 ）, experiment group was better than control group. The time of open surgery was shorter than that of laparoscopic rectal radical excision, there was statistical differences between the two groups （P 〈 0.01 ）. Conclusion：The safety and radical degree of laparo- scopic rectal radical excision were up to standard of the open surgery. It is feasible operation plan of rectal cancer