探讨腹腔镜直肠癌根治术与开腹直肠癌根治术的临床疗效

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1、探讨腹腔镜直肠癌根治术与开腹直肠癌根治术的临床疗效五常市人民医院150200【摘要】目的：研宄分析腹腔镜直肠癌根治术与开腹直肠癌根治术在治疗直肠癌中的临床效果。方法：此次研究的对象是选取2012年1月-2014年12月笔者所在医院收治的58例直肠癌患者。其中行腹腔镜直肠癌根治术患者26例作为腹腔镜组，行传统开腹直肠癌根治术患者32例作为对照组，比较两组患者的各项指标。结果：腹腔镜组术中岀血量少于对照组，术后排气时间为(2.3&plUSmn;0.5)d,进食时间为(4.2±1.0)d,住院时间为(11.5±2.9)d,均短于对

2、照组，差异均有统计学意义(P<0.05);腹腔镜组手术用时(180.4±50.7)min明显讼于对照组的(132.5&口11150113;33.1)17^11，差异有统计学意义(？&11:;0.05);腹腔镜组并发症发生率为7.69%,低于对照组的31.25%,差异有统计学意义(P<0.05)；腹腔镜组的肠管切除长度和淋巴结清扫数量与对照组比较，差异均无统计学意义(P>0.05)；随访0.5〜3年两组患者局部复发率和远处转移率比较，差异均无统计学意义(P>；0.05)o结论：腹腔镜直肠癌根治术治疗直肠癌疗效确切，并且

3、术中出血量较少、术后康复速度快、住院时间短，在临床应用上具有良好的安全性与可行性。【关键词】腹腔镜直肠癌根治术；开腹直肠癌根治术；临床疗效[Abstract]Objective：Tostudytheclinicaleffectoflaparoscopicradicalresectionofrectalcancerandopenradicalresectionofrectalcancerinthetreatmentofrectalcancer.Methods：theobjectofthisstudywastoselect58patientswithrec

4、talcancerwhowereadmittedinourhospitalfromJanuary2012toDecember，•Amongthem,26casesweretreatedbylaparoscopicradicalresectionofrectalcancerasthelaparoscopicgroup,32casesweretreatedasthecontrolgroup，theindexesofthetwogroupswerecompared.Results：thelaparoscopicgroupofintraoperativeble

5、edingwaslessthanthecontrolgroup,postoperativeexhausttime(2.3+0.5)d,eatingtimefor(4.2+1)d，hospitalizationtimewas(11.5+2.9)d,wereshorterthanthecontrolgroup,thedifferenceswerestatisticallysignificant(P<0.05)；thetimeofsurgery(laparoscopicgroup180.4+50.7)minwassignificantlylongert

6、hanthecontrolgroup(132.5+33.1)min，thedifferencewasstatisticallysignificant(P<0.05)；thecomplicationsoflaparoscopicgroup，theincidencerateof7.69%,lowerthan31.25%inthecontrolgroup,thedifferencewasstatisticallysignificant(P<0.05)；thelaparoscopicgroupofbowelresectionandlymphnode

7、dissectionlengthnumbercomparedwiththecontrolgroup，thedifferencetherewasnostatisticalsignificance(P>0.05)；0.53yearsfollow-upoftwogroupsofpatientswithlocalrecurrencerateanddistantmetastasisratecomparison，therewerenosignificantdifferences(P>0.05).Conclusion：laparoscopicradica

8、lresectionofrectalcanceriseffectiveinthetreatme