腹腔镜与传统开腹手术治疗直肠癌疗效的比较

Clinical effect of laparoscopy on rectal cancer

目的:通过传统开腹手术对照,研究腹腔镜治疗胃癌的效果。方法:2013年5月至2015年5月我院86例直肠癌患者随机分成腹腔镜组和传统开腹组,分别进行腹腔镜和传统开腹手术治疗。观察手术时间、出血量、切除肠管长度、清扫淋巴结数量、术后胃肠功能恢复时间、住院时间和并发症。结果:腹腔镜组术中出血量少于传统开腹组,而腹腔镜组手术时间明显长于传统开腹组;腹腔镜组的胃肠道功能恢复时间和术后住院时间短于传统开腹组;腹腔镜组和传统开腹组的术后并发症分别为14.0%和23.3%(P<0.05)。腹腔镜组和传统开腹组淋巴结清除数目和肠管切除长度没有显著性差别。结论:腹腔镜直肠根治术治疗直肠癌的疗效确切,与传统手术方式相比,术后并发症及恢复等方面有明显的优势。

Objective. To research the clinical effect of laparoscopy on rectal cancer controlled with open operation. Methods： Eighty-six patients with rectal cancer from May, 2013 to May, 2015 in our hospital were randomly divided into laparoscopy group and open group treated with laparoscopy and open operation, respectively. The clinical effects were evaluated with the time of opera- tion, the bleeding volume during operation, the length of resection of intestine, the number of removed lymph nodes, the recovery time of gastrointestinal function and length of stay after operation and the complications. Results： The bleeding volume during opera- tion of laparoscopy group was less than that of open group. The time of operation of laparoscopy group was longer than that of pen group. The recovery time of gastrointestinal function and length of stay after operation of laparoscopy group were shorter than that of open group. The incidence of laparoscopy group and open group were 14.0% and 23.3% （P〈0.05）. The length of resection of intes- tine and the number of removed lymph nodes of laparoscopy group were not different from that of open group. Conclusion： Laparo- scopic radical resection of rectal has definite effect on rectal cancer, which demonstrates advantages on complications and recovery af- ter operation.