腹腔镜直肠癌手术与传统开腹直肠癌手术的临床比较

Clinical Comparison Between Laparoscopic Rectal Cancer Surgery and Traditional Open Surgery for Rectal Cancer

目的探讨临床腹腔镜直肠癌手术与传统开腹直肠癌手术的效果。方法在2016年2月—2018年2月来我院及莱西市人民医院就诊的直肠癌手术患者中选取58例参与本组研究,依据随机数字表法将其均分为两组,各29例,对参照组行传统开腹直肠癌手术治疗,对实验组行腹腔镜直肠癌手术治疗。分析两组数据。结果两组患者术中出血量、住院时间和切口长度比较,差异有统计学意义(P<0.05);两种方法的手术时间和淋巴结清除个数经统计学检验,差异无统计学意义(P>0.05);实验组和参照组直肠癌手术患者的并发症发生率分别为6.90%(2/29)和34.48%(10/29),组间差异有统计学意义(P<0.05)。结论相比于传统开腹直肠癌手术,行腹腔镜直肠癌手术可提高患者的恢复效果,有效的降低并发症发生,对患者机体创伤较小。

Objective To investigate the effect of laparoscopic rectal cancer surgery and traditional open surgery for rectal cancer.Methods From February 2016 to February 2018,58 cases of rectal cancer operated in our hospital and Laixi people's hospital were selected to participate in the study.According to the random digital table,they were divided into two groups,each with 29 cases,and the traditional laparotomy rectal cancer surgery was performed in the reference group.The experimental group was treated with laparoscopic operation for rectal cancer.The two groups of data are analyzed.Results There were significant differences in blood volume,hospital stay and incision length between the two groups(P<0.05).There was no significant difference in operative time and lymph node clearance between the two methods(P>0.05).The incidence of postoperative complications was 6.90%(2/29)and 34.48%(10/29)in the experimental group and the control group,respectively.The difference was statistically significant(P<0.05).Conclusion Compared with the traditional open rectal cancer surgery,laparoscopic rectal cancer surgery can improve the recovery of the patients,effectively reduce the incidence of complications,the patient's body is less traumatic.