用两种直肠全系膜切除手术治疗直肠癌的效果对比

Comparison of the efficacy of total mesorectal excision for rectal cancer

目的:比较用腹腔镜下直肠全系膜切除手术和传统开腹直肠全系膜切除手术治疗直肠癌的效果。方法:按照手术方式的不同将皖南医学院弋矶山医院收治的84例直肠癌患者分为腹腔镜组和开腹组,每组各有42例患者。对腹腔镜组患者进行腹腔镜下直肠全系膜切除手术,对开腹组患者进行传统开腹直肠全系膜切除手术。然后比较两组患者手术的效果。结果:腹腔镜组患者手术中的出血量少于开腹组患者(P<0.05),其术毕至排气的时间及住院的时间均短于开腹组患者(P<0.05),其手术后并发症的发生率低于开腹组患者(P<0.05)。结论:与用开腹直肠全系膜切除手术治疗直肠癌的效果相比,用腹腔镜下直肠全系膜切除手术治疗直肠癌的效果更为理想。

objective： to compare the efficacy of laparoscopic total mesorectal resection and traditional open total mesorectal resection for rectal cancer. Methods： according to different surgical methods, 84 cases of rectal cancer patients admitted by wannan medical college in yijishan hospital were divided into laparoscopic group and open group, with 42 patients in each group. The laparoscopic total mesorectal resection was performed on patients in the laparoscopic group, and the laparoscopic total mesorectal resection was performed on patients in the open group. The results were then compared between the two groups. Results： the amount of bleeding in the laparoscopic surgery was less than that in the open surgery group（P〈0.05）, and the time of exhaust and hospitalization was shorter than that in the open surgery group（P〈0.05）, and the incidence of postoperative complications was lower than that in the open surgery group（P〈0.05）. Conclusion： compared with the effect of laparoscopic total mesorectal resection for rectal cancer, laparoscopic total mesorectal resection for rectal cancer is more effective.