腹腔镜全直肠系膜切除术和开腹手术治疗中低位直肠癌的效果及并发症对比

Comparison of the effects and complications of laparoscopic total mesorectal excision and laparotomy in the treatment of middle and low rectal cancer

目的比较腹腔镜全直肠系膜切除术和开腹手术治疗中低位直肠癌的效果及并发症情况。方法选择113例中低位直肠癌患者,根据手术方式分为观察组和对照组,分别为61例、52例,观察组给予腹腔镜全直肠系膜切除术治疗,对照组给予开腹手术治疗。结果观察组保肛率为72.13%、对照组为53.85%,观察组高于对照组(P <0.05);观察组并发症发生率为1.64%、对照组为11.54%,观察组低于对照组(P <0.05);观察组手术时间、胃肠道恢复时间、住院时间均较对照组短(P <0.05)。结论采用腹腔镜全直肠系膜切除术治疗中低位直肠癌,较开腹手术手术时间短,保肛率高,并发症低,具有明显的优势。

Objective To compare effects and complications of laparoscopic total mesorectal excision and laparotomy in the treatment of middle and lowrectal cancer.Methods 113 patients with middle and lowrectal cancer were divided into the observation group and the control group according to the operation method,which were 61 cases and 52 cases,respectively.The observation group was treated with laparoscopic total mesorectal excision,while the control group was treated with open surgery.Results The anal preservation rate was72.13%in the observation group and 53.85%in the control group.The incidence of complications was 1.64%in the observation group and11.54%in the control group.The operation time,recovery time of gastrointestinal tract and hospitalization time in the observation group were shorter than that of the control group(P<0.05).Conclusion Laparoscopic total mesorectal excision for middle and low rectal cancer has obvious advantages,such as shorter operation time,higher anus-preserving rate and lower complications.