腹腔镜手术与开腹手术治疗直肠癌的疗效对比

Comparison of the efficacy of laparoscopy and laparotomy in the treatment of rectal cancer

目的:对比用腹腔镜手术与开腹手术治疗直肠癌的临床疗效。方法:选取2015年2月至2016年6月期间兰州大学校医院收治的94例直肠癌患者为研究对象。将其随机分为试验组(47例)和对照组(47例)。采用腹腔镜手术对试验组患者进行治疗,采用开腹手术对对照组患者进行治疗。治疗结束后,对比两组患者手术相关的指标、术后并发症的发生情况、术后3年的生存情况和病情的复发情况。结果:与对照组患者相比,试验组患者术中的出血量较少,其手术持续的时间较长,其术后住院的时间较短,P<0.05。术后试验组患者并发症的总发生率低于对照组患者,P<0.05。术后3年,试验组患者的生存率高于对照组患者,其病情的复发率低于对照组患者,P<0.05。结论:与采用开腹手术治疗直肠癌的效果相比,采用腹腔镜手术治疗该病可显著减轻手术的创伤性,缩短患者住院的时间,降低其术后并发症的发生率和病情的复发率,提高其远期生存率。

Objective:To compare the clinical efficacy of laparoscopy and laparotomy in the treatment of rectal cancer.Methods:94 patients with rectal cancer admitted to Lanzhou University Hospital from February 2015 to June 2016 were selected as research objects.They were randomly divided into experimental group(47 cases)and control group(47 cases).Patients in the experimental group were treated with laparoscopic surgery and those in the control group were treated with laparotomy.At the end of treatment,the operative indicators,postoperative complications,postoperative survival at 3 years and disease recurrence were compared between the two groups.Results:Compared with the control group,the experimental group had less intraoperative blood loss,longer duration of operation,and shorter postoperative hospital stay(P<0.05).The total incidence of complications in the experimental group was lower than that in the control group(P<0.05).3 years after surgery,the survival rate of the experimental group was higher than that of the control group,and the recurrence rate of the disease was lower than that of the control group(P<0.05).Conclusion:Compared with the efficacy of open surgery for rectal cancer,laparoscopic surgery can significantly reduce the surgical trauma,shorten the length of hospital stay,reduce the incidence of postoperative complications and disease recurrence,and improve the long-term survival rate.