腹腔镜下电凝钩与超声刀治疗低位直肠癌根治术的疗效对比

Efficacy of laparoscopicelectrocantery and ultrasonic scalpel in the treatment of low rectal cancer radical operation

目的对比腹腔镜下电凝钩与超声刀治疗低位直肠癌根治术的疗效。方法对青岛市立医院2015年5月至2018年5月就诊的低位直肠癌患者150例进行回顾性分析,按照腹腔镜下不同手术方法分为电凝钩组(n=80)和超声刀组(n=70)。观察两组手术一般情况、近期疗效、术后并发症、复发及生存情况。结果电凝钩组手术时间短于超声刀组(P<0.05),出血量、淋巴结切除个数、切除肿瘤直径两组差异无统计学意义(P>0.05);两组术后肛门排气时间、下床活动时间、排便时间、进食时间及住院时间,差异无统计学意义(P>0.05);超声刀组排尿困难发生率高于电凝钩组(P<0.05),两组术后肠梗阻、吻合口瘘和切口感染发生率,差异无统计学意义(P>0.05)。结论腹腔镜下电凝钩相较于超声刀手术用时更短,并发症发生更少,更加便捷。

Objective To compare the efficacy of laparoscopic electrocantery and ultrasonic scalpel in the treatment of low rectal cancer radical operation.Methods One hundred and fifty cases of patients with low rectal cancer who were admitted to Qingdao Municipal Hospital from May 2015 to May 2018 were retrospectively analyzed.They were divided into electrocantery group(n=80)and ultrasonic scalpel group(n=70)according to different laparoscopic methods.The clinical data including short-term curative effect,incidence of postoperative complicationsand prognosisbetween the two groups were compared.Results The operative time in electrocantery group was significantly shorter than that in ultrasonic scalpel group(P<0.05).However,there was no significant difference in blood loss,number of lymph node resection and tumor diameter between the two groups(P>0.05).There was no significant difference in the indexes of postoperative short-term efficacy between the two groups(P>0.05).There was no significant difference in the incidences of intestinal obstruction,anastomotic leakage and wound infection of the two groups after operation(P>0.05).And the incidence of dysuria in ultrasonic scalpel group was significantly higher than that of electrocantery group(P<0.05).There was no significant difference in survival rate and recurrence rate between the two groups(P>0.05).Conclusions Laparoscopic electrocantery and ultrasonic scalpel for low rectal cancer both have similar short-term and long-term effects.Electrocantery has shorter operative time and fewer complications,thus it is more suitable for clinical application.