直肠癌腹腔镜手术与开腹手术的疗效比较

Comparative Study on the Therapeutic Efficacies of Laparoscopic Surgery and Laparotomy for Rectal Carcinoma

为探讨腹腔镜手术根治直肠癌的安全性、可行性及有效性，随机选取2011年1月至2012年12月于我院接受腹腔镜直肠癌根治术（腹腔镜组）和传统开腹直肠癌根治术（开腹组）治疗的患者各70例，就手术时间、切口长度、术后住院时间、淋巴结清除数目、总住院费用和术后肠道功能恢复时间进行对比分析。结果显示，腹腔镜组切口长度、术后肠道功能恢复时间、住院时间均明显短于开腹组，P〈0．05；在手术时间、淋巴结清除数目方面两组差异无统计学意义，P〉0．05；腹腔镜组总住院费用明显高于开腹组，P〈0．05。结果表明，直肠癌腹腔镜手术可达到与开腹手术同样的根治性治疗效果，近期疗效满意，而且创伤小、患者术后恢复快。

In order to investigate the safety, feasibility and effectiveness, authors randomly selected and compared and analyzed the data of 140 patients with rectal carcinoma from Jan. 2012 to Dec. 2012 yr. who had received laparoscopie radical surgery（70 cases,namely laparoseopie group） or laparotomy radical surgery（70 eases, namely laparotomy group）, included the time for operation, incision length, the time for postoperative hospitalization, the number of removed lymph nodes, the total hospitalization cost and the time for intestinal function recovery, etc. As results, the incision length, the time for postoperative intestinal function recovery,and for hospitalization of laparoseopic group were significantly shorter than that of laparotomy group（ P 〈0.05） ;in the time for operation, the number of removed lymph nodes there was no sta- tistical difference（ P 〉0.05） ;but the total hospitalization cost of laparoscopic group was significantly more than that of laparotomy group（ P 〈0.05）. Results show that for rectal carcinoma laparoscopie surgery can obtain same radical therapeutic effect as laparotomy ,its shorter-term efficacy is satisfactory, with less trauma and faster recovery after operation.