腹腔镜与开腹全直肠系膜切除术治疗中低位直肠癌的手术疗效

Laparoscopic and open total mesorectal excision for middle and low rectal cancer

目的:探讨开腹和腹腔镜下全直肠系膜切除术治疗中低位直肠癌的近期、中期疗效及安全性、可行性。方法:收治低位直肠癌患者148例,分别施行开腹手术和腹腔镜下手术。结果:腹腔镜组手术时间、术中出血量明显少于开腹组,且术后下床时间、肠道功能恢复时间、住院时间均明显优于开腹组(P<0.05)。结论:在中低位直肠癌治疗中,腹腔镜下全直肠系膜切除术的优势明显多于开腹手术,具有肯定的近、中期疗效。

Objective:To investigate the short-term and medium-term clinical efficacy,safety and feasibility of open and laparoscopic total mesorectal excision for middle and low rectal cancer.Methods:148 patients with low rectal cancer were selected,they were performed open operation and laparoscopic surgery respectively,and then their clinical data were analyzed.Results:The time of operation and the amount of bleeding in the laparoscopy group were significantly less than those in the laparotomy group,and the active time post-operation,the recovery time of intestinal function and the hospital stay time were obviously superior than hose in the open group(P<0.05).Conclusion:Laparoscopic total mesorectal excision is superior to open surgery in the treatment of middle and low rectal cancer.