腹腔镜直肠全系膜切除治疗直肠癌的临床研究

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1、IIlllllllllllllllllllllllllllllllllllllllllllllllY2441102分类号：学号：2010134泰山医学隍硕士学位论文oW⋯F02㈣809恻281论文题目：腹腔镜直肠全系膜切除治疗直肠癌的临床研究作者姓名：张勇学科、专业：外科学学位类型：专业学位型研究方向：普外科指导教师：刘君教授入学时间：2010年9月论文工作起止时间：2012年1J9-2013年3月目录中文摘要⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯1英文摘要⋯⋯⋯⋯“符

2、号说明⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯·5前‘言⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯”6材料与方法⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯-8结果⋯⋯⋯⋯一10讨论⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯·13结论⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯·参考文献⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯2

3、0综述⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯-23附表⋯⋯⋯⋯⋯⋯⋯⋯”致谢⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯-35原创性声明⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯·-；36腹腔镜直肠全系膜切除治疗直肠癌的临床研究研究生：张勇蝴专业：外科学～～～-3、腹腔镜直肠癌手术术后并发症发生率比开腹组低。关键词：腹腔镜；直肠癌2CLINICALRESEARCHoFLAPARoSC

4、oPICMESORECTALEXCISl0NINTHETREATMENToFRECTALCANCERPostgraduate：ZhangYongMajor：SurgeryTutor：Prof．LinJunABSTRACTObjectiveToevaluatethefeasibilityandsafetyoflaparoscopy—assistedtotalmesorectalexcisionbythecomparisonofthetherapeuticefficacyofthelaparoscopy

5、-assistedandopensurgeryforrectalcancer．MethodsThestudyisaretrospectiveanalysisof73rectalcancerpatients’clinicaldatafromJanuary2011toDecember2012．Thepatientsweredividedintotwogroupsaccordingtothetypeofthesurgery：laparoseopicsurgerygroupandopensurgerygro

6、up．Thedataofthefollowingparameterswereanalysised：surgicalindex(theoperationtime，meanoperativebloodloss，thelengthoftheoperative)，postoperativerecoveryindex(thepostoperativeambulation，therecoveryofgastrointestinalfunction，thehospitalization)，tumorradical

7、resectionindex(thenumberoflymphnodesremoved，theresectionmarginandthepositivesurgicalmarginrate)．Results26caseswereoperatedbylaparoscopywhile47casesweretreatedbyopensurgery,allsurgeryweresuccessful．Therewasnosignificantdifferenceinthenumberoflymphnodesr

8、emoved，theresectionmarginandthepositivesurgicalmarginratebetweenthetwogroup．Therewasdifferenceinthenumberofthepostoperativeambulation，therecoveryofgastrointestinalfunction，thehospitalizationbetweenthetwogroups．Theoperativetimeofthelapar