双镜联合结直肠切除手术与传统腹腔镜手术临床对照分析

ANALYSIS OF CONTROLLED CLINICAL TRIALS BETWEEN DUAL ENDOSCOPIC COLORECTAL SURGERY AND TRADITIONAL LAPAROSCOPIC SURGERY

目的分析双镜联合结直肠切除手术的临床疗效。方法对52例结直肠癌患者的双镜联合结直肠切除手术和传统腹腔镜手术进行回顾性分析。结果 1双镜联合结直肠切除手术与传统腹腔镜手术的平均手术时间、术中平均出血量、淋巴结平均清扫数目差异无统计学意义;2双镜联合结直肠切除手术组术后排气早于传统腹腔镜手术组,双镜联合结直肠切除手术组在术后切口并发症方面优于传统腹腔镜手术组。结论双镜联合结直肠切除手术可以达到同样安全的肿瘤根治效果,且具有腹部无辅助切口,疼痛轻微,术后胃肠功能恢复快等优点,说明该技术值得推广,并且该技术可以为经自然孔道内镜外科技术积累丰富的经验。

Objective To analyze the clinical effects of dual endoscopic colorectal surgery.Methods We made a retrospective controlled analysis on 52 colorectal cancer patients received dual endoscopic colorectal surgery and traditional laparoscopic surgery.Results There were no statistical differences between the two groups on the mean operation time/ the mean volumes of intraoperative bleeding/ the mean number of lymph nodes cleared.The mean time of anal aerofluxus of dual endoscopic colorectal surgery group relative-ly sonner than the traditional laparoscopic surgery group.The dual endoscopic colorectal surgery group was superior to the traditional laparoscope group on the aspect of the complications related to postoperative inci-sion.Conclusion The dual endoscopic colorectal surgery is worth to promote for safe tumor radical effects,no assist abdomen incision,painless,faster postoperation gastrointestinal function recovery,and accumulated rich experience for NOTES technology.