腹腔镜直肠癌保肛手术的可行性研究

FEASIBILITY STUDY OF LAPAROSCOPIC SPHINCTERPRESERVING RADICAL OPERATION FOR RECTAL CANCER

目的:探讨腹腔镜直肠癌保肛术的可行性、安全性及优越性。方法:选取我院施行的腹腔镜直肠癌保肛术30例及同期开腹手术30例,统计分析二者手术时间、术中失血量、切除标本长度、肿瘤下缘距切缘长度、清扫淋巴结数目、术后排气时间、术后进食时间、术后住院时间等方面的差异。结果:腹腔镜手术组手术时间、术中失血量与开腹手术组比较,差异有统计学意义(P<0.05),在切除标本长度、肿瘤下缘距切缘长度、清除淋巴结的数目等方面,腹腔镜组与开腹手术组比较差异无统计学意义(P>0.005)。术后排气时间、进食时间、住院时间腹腔镜组比开腹手术组缩短(P<0.05)。结论:腹腔镜直肠癌根治保肛术是安全可行的。

Objective:To explore the superiority,feasibility and safety of laparoscopic sphincter-preserving radical operation for rectal cancer.Methods:Comparing 30 laparoscopic sphincter- preserving radical operation for rectal cancer with laparotomy done in our hospital.Analyze the deference between the two kinds of operation in operation time,blood loss during operation,resected specimen length,the lower edge of the tumor from the cutting edge length,the number of lymph node dissection,exhaust time after operation,time to eat after operation and length of stay in the hospital.Results:There is a statistical significance^ <0.05) between two operation methods in operation time and blood loss during operation.There is no statistical significance(P >0.05) between two operation methods in resected specimen length,the lower edge of the tumor from the cutting edge length,the number of lymph node dissection.Comparing two groups,laparoscopic group reduced exhaust time,time to eat after operation and length of stay in the hospital(P <0.05).Conclusion:Laparoscopic radical sphincter preservation of rectal cancer is safe and feasible.