腹腔镜与开腹直肠癌全系膜切除术的疗效观察及并发症分析

Clinical Effect and Complications Analysis of Laparoscopic and Open Total Mesorectal Excision in the Treatment of Rectal Cancer

目的：观察腹腔镜和传统开腹直肠全系膜切除术对直肠癌患者的治疗效果，并分析患者手术后并发症的发生情况。方法我院从2012-07～2013-07间收治的直肠癌患者中抽取了130例进行调查，在随机分配与自愿的原则下，将所选人员分为A组和B组，每组各65例。 A组患者采取腹腔镜下的直肠全系膜切除手术进行治疗，B组患者采取传统开腹直肠全系膜切除手术进行治疗，对比分析两组患者手术治疗的有效性与并发症情况。结果两组患者的手术时间分别为（133.5±46.0） min和（142.4±49.1）min，术中平均出血量分别为（147.9±85.6）mL和（299.8±100.7）mL，A组均低于B组。 A组患者手术后并发症的发生率为20.00％，明显低于B组的47.69％，且以上结果在P＜0.05时差异具有统计学意义。结论相比传统开腹直肠全系膜切除手术，直肠癌患者在采取腹腔镜下的直肠癌全系膜切除术进行治疗时表现出了更好的治疗效果，值得临床推广应用。

Objective To research the effectiveness of laparoscopic and open total mesorectal excision in the treatment of rectal cancer and analyze the complications of the patients.Methods During July, 2012 and July, 2013, 130 rectal cancer patients were selected and divided into group A and group B.The 65 rectal cancer patients in group A were treated by laparoscopic total mesorectal excision while the other 65 rectal cancer patients in group B were treated by conventional open total mesorectal excision .The treatment effect of all the patients was observed.Results The mean operation time of group A and B are （133.5 ±46.0 ） and （142.4 ±49.1 ） min, and the surgical bleed-ing of group A and B are （147.9 ±85.6） and （299.8 ±100.7）, which are lower than that of the patients in group B.The complication rate is 20.00%, which is lower than 47.69%in group B.All the results above are statistically significance , P〈0.05.Conclusion Com-pared with conventional open total mesorectal excision , the laparoscopic total mesorectal excision has more benefits for rectal cancer patients and it has a good effects on the patients.It is worth of clinical application.