腹腔镜直肠癌根治术的临床疗效

Efficacy of laparoscope-assisted radical resection of rectal cancer

目的观察腹腔镜直肠癌根治术的临床疗效。方法直肠癌患者100例均分为两组,分别采用腹腔镜下直肠癌根治术(观察组)和常规Dixon直肠癌根治术(对照组),比较两组相关手术指标、术后并发症和生存率。结果观察组手术时间、出血量以及肛门排气时间均少于对照组(P<0.05),观察组吻合口漏或感染、粘连性肠梗阻、排尿功能障碍发生率和性功能障碍发生率均低于对照组(P<0.05)。两组术后1、3、5年生存率比较无统计学差异(P>0.05)。结论与常规Dixon手术比较,腹腔镜下直肠癌根治术手术时间短、术中出血量少、术后并发症发生率低。

Objective To observe the efficacy of laparoscope-assisted radical resection of rectal cancer.Methods A total of 100 patients with rectal cancer was operated with laparoscope-assisted radical resection（group A,50 cases）and conventional Dixon surgery（group B,50 cases）.The surgery-related indicators,postoperative complications and survival rates were compared between two groups.Results Compared to group B,the patients in group A had shorter operation time,less intraoperative bleeding,earlier exhaust,and lower incidences of anastomotic leakage or infection,adhesive intestinal obstruction,urethral and sexual dysfunction（P〈0.05）.There were no significant differences in the one-year,3-year and 5-year survival rates between two groups（P〈0.05）.Conclusion Compared with conventional Dixon surgery,laparoscope-assisted radical resection has the advantages of shorter operation time,less intraoperative bleeding,lower incidence of postoperative complications.