对直肠癌患者进行腹腔镜直肠癌根治术与开腹直肠癌根治术的近期疗效对比

Comparison of short-term effects between laparoscopic radical resection and open radical resection for the patient with rectal carcinoma

目的 :对比对直肠癌患者进行腹腔镜直肠癌根治术与开腹直肠癌根治术的近期疗效。方法 :将2016年10月至2017年3月期间四川省司法警官总医院结直肠外科收治80例直肠癌患者作为研究对象。将这80例患者平均分为对照组和观察组。对对照组患者进行开腹直肠癌根治术,对观察组患者进行腹腔镜直肠癌根治术。然后,比较两组患者的近期疗效。结果 :经过治疗,与对照组患者相比,观察组患者术后肠功能恢复正常的时间、术后可进食流质食物的时间、术后下床活动的时间和住院的时间均更短,其术后并发症的发生率更低(P<0.05)。两组患者病灶的局部复发率和癌细胞的远端转移率相比,差异无统计学意义(P>0.05)。结论 :与进行开腹直肠癌根治术的效果相比,对直肠癌患者进行腹腔镜直肠癌根治术的近期疗效更好,可明显缩短其治疗的时间,降低其术后并发症的发生率。

Objective： To compare short-term effects between laparoscopic radical resection and open radical resection for the patient with rectal carcinoma. Methods： Select 80 cases of patient with rectal carcinoma treated in Sichuan Judicial Police General Hospital during October 2016 to March 2017 for research object. Divide the 80 cases to control group and experimental group. Treat control group with open radical resection, treat experimental group with laparoscopic radical resection. Then compare short-term effects between 2 groups.Results： After treatment, compare with control group, recovery time of bowel function, time of first liquid diet after operation, time of ambulation and hospitalization time of experimental group are shorter, incidence of complication is lower（ P 0.05）.The difference of recurrence rate of local lesion and metastasis rate of cancer cell have no statistical significant（ P 0.05）.Conclusion： Compare with open radical resection,the short-term effect of laparoscopic radical resection is better, it will shorten treatment process,decrease incidence of complication of patients.