腹腔镜直肠癌手术与传统开腹直肠癌手术的疗效比较  

Study on comparison of effect of laparoscopic rectectomy with open rectectomy in treatment of rectal cancer

作　　者：秦光远[1] 左朝晖[2] 姚敦武[1] 陈光谱[1] 唐卫[2] 

机构地区：[1]怀化医专附属怀化市第三人民医院普外二科,湖南怀化418000 [2]湖南省肿瘤医院腹外一科,湖南长沙410013

出　　处：《临床和实验医学杂志》2011年第6期421-423,共3页Journal of Clinical and Experimental Medicine

摘　　要：目的评价腹腔镜手术与传统手术治疗直肠癌的疗效。方法回顾性调查分析2009年1月至2010年7月所有在湖南省怀化医专附属怀化市第三人民医院和湖南省肿瘤医院接受治疗的直肠癌患者635例,其中203例采用腹腔镜进行手术,432例采用传统开腹进行手术,手术按手术方式分成腹腔镜手术和传统手术两组。比较两组的手术时间、住院时间、住院费用、术中出血量、术中及术后的近期并发症、病人满意度和手术根治性情况。结果腹腔镜手术组的术中出血量、住院时间、病人满意度指标明显优于传统开腹手术组,差异有统计学意义(P<0.05),而手术时间、住院费用、术中及术后的近期并发症、手术根治性两组差异没有统计学意义。结论用腹腔镜进行直肠癌手术是可行的,而且具有微创、恢复快、病人满意度高等优点。Objective To evaluate the feasibility of laparoscopyic radical resection and open procedures for resection of rectal cancer.Methods The clinical data of 635 cases of rectal cancer operated in Third People＇s Hospital of Huaihua City and Hunan Provincial Tumor Hospital during January 2009 to July 2010 were retrospectively reviewed and analyzed.Among them,203 patients were operated with laparoscopic surgery,and 432 cases were treated with conventional open surgery.All of them were allocated into 2 groups for comparison with operating time,duration of hospitalization,expenses,perioperative and short term postoperative complications,satisfaction of patients and surgical situation for radical cure.Results The difference in duration of hospitalization and satisfaction of patients was significant between these two groups,but the difference in operating time,hospitalization expenses,peri-operative and postoperative complications,and radical cure of surgery was not statistically significant.Conclusion Laparoscopic radical resection is a proper choice for curable rectal cancer,and it has advantages of quick recovery and high degree of satisfaction of patients.

关 键 词：直肠癌 腹腔镜手术 疗效 开腹手术 疗效 

分 类 号：R735.37[医药卫生—肿瘤]