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腹腔镜下直肠及乙状结肠癌根治术44例临床分析 被引量:4

Clinical analysis of laparoscopic radical operation of rectal cancer on 44 patients with rectum or colorectal cancer
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摘要 目的探讨腹腔镜下直肠及乙状结肠癌根治术在结直肠癌治疗的临床疗效。方法选取我院收治的结直肠癌患者90例,随机分为观察组44例和对照组46例。观察组采用腹腔镜下直肠、乙状结肠癌根治术,对照组接受开腹手术治疗;比较两组患者的手术时间、术中出血量、术后肛门首次排气时间、术后住院天数、术后并发症、无疾病进展生存期和中位生存期。结果对照组术中出血量、术后肛门排气时间以及术后住院天数均明显多于腹腔镜组(P<0.05);术后并发症发生率观察组为9.09%,对照组10.87%,两组无差异(P>0.05);观察组无病进展生存期(12.5个月vs.9个月)、中位生存期(34.3个月vs.22.7个月)均显著长于对照组(P<0.05)。结论腹腔镜直肠及乙状结肠癌根治术有助于提高结直肠癌的临床疗效,改善患者预后。 Objective To investigate the clinical effect of laparoscopic rectum,sigmoid colon cancer radical operation on rectum or colorectal cancers. Methods 90 patients with colorectal carcinoma in our hospital were randomly divided into the observation group (n=44) and control group (n=46). The observation group received aparoscopic rectum,sigmoid colon cancer radical resection,control group received laparotomy operation. The operation time, intraoperative bleeding volume,postoperative anal exhaust time,postoperative hospital stay and postoperative complications, survival through follow- up of both groups were compared. Results The amount of bleeding, intraoperative and postoperative anal exhaust time and postoperative hospitalization of the control group were significantly more than those in the laparoscopic group(P〈0.05);but no difference of complication rate of two groups was observed (P〉0.05). The progression free survival (12.5 vs. 9 month) and the median survival (34.3 vs. 22.7 month) in the observation group were significantly longer than those of control group (P〈0.05). Conclusion Laparoscopic rectum,sigmoid colon cancer radical resection is helpful to improve clinical efficacy and prognosis of patients with rectum or colorectal cancer.
作者 沈韧斌
出处 《外科研究与新技术》 2014年第3期174-176,共3页 Surgical Research and New Technique
关键词 腹腔镜 手术 结直肠癌 疗效 Laparoscopic Operation Colorectal cancer Curative effect
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