腹腔镜结、直肠癌根治术与传统开放手术的疗效对比

Therapeutic effect comparison between radical resection of colorectal cancer with laparoscopy and conventional operation

目的探讨腹腔镜技术在结、直肠癌根治术中应用的可行、安全以及有效性。方法回顾分析2009年8月至2011年8月期间收治并行结、直肠癌根治术的96例患者临床资料,其中应用腹腔镜技术的36例患者为腹腔镜组,传统开腹的60例患者为开腹组,两组进行3年生存率、切缘阳性率、吻合口瘘、清扫淋巴结数目、平均出血量、胃肠功能恢复时间对比。结果开腹组与腹腔镜组的3年生存率、切缘阳性率、吻合口瘘、平均清扫淋巴结数目均无统计学意义(P>0.05);腹腔镜组术后胃肠恢复时间短、出血量少、术后疼痛均明显优于开腹组。结论腹腔镜结、直肠癌根治术是安全、有效的术式,具有术后胃肠功能恢复快、出血量少、术后疼痛较少等优点。

Objective In this study we aimed to assess the feasibility,safety and effectiveness of radical resection of colorectal cancer with laparoscopy and compare the results with those of the conventional operation group. Methods Clinical data of 96 cases of rectal carcinoma between August 2009 and August 2011 were enrolled in this study. Sixty cases underwent traditional operation and 36 cases underwent laparoscopy approach.Results were analyzed with statistics,to contrast that they had not statistic difference between two group by threeyear survival rate,positive rate of incisal edge,anastomotic fistula,the number of Lymph Node Dissection,mean bleeding volume, postoperative gastrointestinal function recovery time. Results There were no significant differences in three-year survival rate,positive rate of incisal edge,anastomotic fistula,the mean number of Lymph Node Dissection（ P〉 0. 05）. It had significant difference in the mean bleeding volume,postoperative gastrointestinal function recovery time and postoperation pain between the groups. Conclusions Hand-assisted laparoscopic surgery has the advantages of laparoscopic surgery including bleeding volume decrease,postoperative gastrointestinal function recovery and postoperative pain reduction.