腹腔镜辅助与完全腹腔镜直肠癌保肛手术的临床比较

Clinical comparison of laparoscopic assisted and totally laparoscopic colorectal anal surgery

目的探讨腹腔镜辅助与完全腹腔镜直肠癌保肛手术治疗直肠癌的临床效果。方法 60例直肠癌患者随机分为对照组和观察组。对照组采用腹腔镜辅助保肛手术治疗,观察组采用完全腹腔镜保肛手术治疗。比较两组手术时间、术中出血量、住院时间、保肛率等手术情况,比较两组术后并发症发生情况。结果观察组手术时间、术中出血量、术后48小时腹腔引流管血量与对照组相比,差异无统计学意义(P>0.05)。观察组肛门排气时间、进食流质食物时间、住院时间显著少于对照组,差异有统计学意义(P<0.05)。观察组与对照组术后并发症发生率经统计学分析,差异无统计学意义(P>0.05)。结论腹腔镜直肠癌保肛手术利于患者恢复,并发症少,值得临床推广应用。

Objective To study the clinical effect for the laparoscopic assisted and totally laparoscopic colorectal anal surgery treated rectal cancer .Methods 60 patients with rectal cancer were randomly divided into control group and observation group .Control group using laparoscopic assisted anus surgery ,observation group using total laparoscopic anal surgery .Compare two groups of operation time ,intraoperative blood loss ,hospital stay ,anal rate such as surgery ,compared two groups of postoperative complications .Results Observation group 48 hours operation time ,intraoperative blood loss ,postoperative abdominal cavity drainage tube volume compared with the control group ,there was no significant difference（P〉0 .05） .Observation group anal exhaust time ,eat liquid food time ,length of hospital stay was significantly earlier than/less than the control group ,the difference was statistically significant （P〈0 .05） .Observation group and control group in incidence of postoperative complications after statistics analysis , there was no significant difference（P〉0 .05） .Conclusion Laparoscopic colorectal cancer anal surgery for patients with recovery ,fewer complications ,worthy of clinical popularization and application .