腹腔镜辅助直肠癌Parks术治疗低位直肠癌的临床疗效观察

Clinical observation of laparoscopic-assisted Parks surgery for low rectal carcinoma

目的观察腹腔镜辅助直肠癌Parks术治疗低位直肠癌的临床疗效。方法选择2013年1月—2017年1月收治的94例低位直肠癌患者,按手术方法分为观察组与对照组,每组各47例,观察组接受腹腔镜辅助直肠癌Parks术,对照组接受开腹手术,记录两组术后并发症发生情况、排便情况、手术时间、出血量、住院肛门排气时间。结果观察组手术时间、术中出血、肛门排气、住院时间均低于对照组(P均<0.05)。观察组术后出现并发症3例(6.38%),低于对照组的8例(17.02%);术后排便功能优者26例(55.32%),多于对照组的15例(31.91%);排便功能差者4例(8.51%),低于对照组的10例(21.28%)。结论腹腔镜辅助直肠癌Parks术治疗直肠癌优于开腹手术,值得临床推广。

Objective To observe the clinical effect of laparoscopic-assisted Parks surgery on low rectal carcinoma.Methods Sixty-three patients with low rectal carcinoma treated from January 2013 to January 2017 were divided into two groups according to different therapies.The observation group(n=47)received laparoscopic-assisted Parks surgery,and the control group(n=47)received laparotomy.The incidence rate of postoperative complications,defecation function,operation time,bleeding volume,hospitalization time,and anal exsufflation time were recorded.Results The operation time,bleeding volume,anal exsufflation time,and hospitalization time of the observation group were significantly less than those of the control group(all Ps<0.05).The incidence rate of postoperative complications of the observation group(6.38%,3 cases)was significantly lower than that of the control group(17.02%,8 cases).The good recovery rate of defecation function of the observation group(55.32%,26 cases)was significantly higher than that of the control group(31.91%,15 cases),while the poor recovery rate of defecation function(8.51%,4 cases)was significantly lower than that of the control group(21.28%,10 cases).Conclusion Laparoscopic-assisted Parks surgery is better than laparotomy for the treatment of rectal carcinoma,deserving clinical promotion.