腹腔镜与开腹全直肠系膜切除保肛术治疗低位直肠癌的疗效比较

Effect Comparison on Laparoscopic Total Mesorectal Excision&Anus preserving and Open Total Mesorectal Excision&Anus preserving in the Treatment of Low Rectal Cancer

为观察腹腔镜与开腹全直肠系膜切除保肛术治疗低位直肠癌的临床疗效,将低位直肠癌患者100例随机分为对照组和观察组,每组50例。对照组患者采用开腹全直肠系膜切除保肛术治疗,观察组患者采用腹腔镜全直肠系膜切除保肛术治疗,比较2组患者的手术指标、术后恢复时间及术后并发症情况。结果显示,观察组患者术中出血量少于对照组(P <0.05),肿瘤下缘至下切缘距离短于对照组(P <0.05),但手术时间长于对照组(P <0.05);观察组患者外周镇痛时间、进食流质时间、肠动力恢复时间及住院时间均短于对照组(P <0.05);观察组患者术后并发症发生率为6.00%,明显低于对照组的24.00%(P <0.05)。结果表明,腹腔镜全直肠系膜切除保肛术治疗低位直肠癌具有中出血量少、疼痛轻,术后恢复快、并发症少等优点。

This study was to observe the effect of low rectal cancer surgically treated with laparoscopic to tal mesorectal excision(TME)&.anus preserving or with open TME&anus preserving,randomly divided 100 cases into control group(50 cases,received open TME&anus preserving)and observation group(50 cases,laparoscopic one);then,compared both groups'normal norms,postoperative recovered time and com-plication.As results,in intraoperative bleeding volume;in the distance of incision edge far from neoplasm inferior edge;in operaring time;in the time for peripheral analgesia,for eating liquid diet,for intestinal dy-namic recovered,and for hospitalization;and,in complication incidence observation group was respectively less,smaller,longer,shorter and lower than control group significantly(all,P<0.05).Results show that laparoscopic TME&anus preserving has such merits as less intraoperative bleeding volume,slighter pain,faster postoperative recovery,and less postoperative complication,etc.