腹腔镜在直肠癌手术中的应用价值  

The value of applications of laparoscopic surgery in rectal cancer

作　　者：王庚堂 刘思宇[1] 谭洪波[1] 唐建明[1] 贺爱军[1] 

机构地区：[1]湖南省邵阳市第一人民医院,湖南邵阳422001

出　　处：《中国当代医药》2011年第17期131-132,共2页China Modern Medicine

摘　　要：目的:探讨腹腔镜在直肠癌术前探查的应用价值。方法:回顾性分析本院2007年8月～2009年8月收治的34例直肠癌进展期患者的临床资料,其中18例进行腹腔镜探查下的手术治疗,16例进行开腹探查,比较两组患者行肿瘤根治术的例数,并比较临床疗效。结果:腹腔镜T分期与术后病理检查的结果符合率为88.9%(16/18),术前临床T分期与术后病理检查结果符合率61.1%(11/18),两组比较差异有统计学意义(P<0.05)。结论:腹腔镜可避免不必要的剖腹探查,创伤小,能对进展期直肠癌作出准确的诊断和分期,有助于手术决策的制定,改善患者的预后。Objective：To explore the value of applications used laparoscopic surgery in rectal cancer.Methods：Retrospective analyzed the clinical data of 34 cases of advanced colorectal cancer patients in our hospital from August 2007 to August 2009,18 patients were applicated of laparoscopic exploration in operation therapy,16 patients treated with exploratory laparotomy.All patients were compared the number of cases radical operation,and clinical efficacy of parity.Results：Laparoscopic T staging and the pathological examination of the results of compliance was 88.9% （16/18）,preoperative clinical T stage and the pathological findings consistent with rates of 61.1% （11/18）,there were significant differences between the two groups （P0.05）.Conclusion：Laparoscopy can avoid unnecessary laparotomy,trauma,advanced cancer can make an accurate diagnosis and staging,helps to surgical decision making,improve patient prognosis.

关 键 词：直肠癌 腹腔镜探查 剖腹探查 应用价值 

分 类 号：R730.56[医药卫生—肿瘤]