腹腔镜与开腹全直肠系膜切除术治疗中低位直肠癌的临床分析  

Clinical study of laparoscopic and open total mesorectal excision in treatment of medium and low rectal cancer

作　　者：李牧[1] 邢力[1] 贾元吉[1] 

机构地区：[1]沈阳医学院奉天医院普外一科,辽宁沈阳110024

出　　处：《局解手术学杂志》2013年第1期43-44,共2页Journal of Regional Anatomy and Operative Surgery

摘　　要：目的对比分析腹腔镜与开腹全直肠系膜切除(TME)术治疗中、低位直肠癌的疗效。方法回顾性分析我院2010年1月至2011年10月收治的162例中、低位直肠癌患者的临床资料,按手术方法分为腹腔镜组68例,开腹组94例。结果2组患者的保肛率、术中出血量、术后镇痛时间、术后排气时间、留置导尿管时间、术后住院时间等指标有明显统计学差异(P<0.05);而2组的手术时间、标本的大小、距下切缘距离、淋巴结数目等特征无统计学差异(P>0.05)。结论腹腔镜治疗中、低位直肠癌具有出血量较少、胃肠道等消化系统和泌尿系统恢复效果好、疼痛较轻、并发症相对较少等优点,值得临床推广。Objective To compare the efficacy of laparoscopic and open total mesorectal excision（TME） in the treatment of medium and low rectal cancer.Methods Analyse the clinical datas of 162 patients with medium and low rectal cancer.All the patients were divided into two groups： 68 cases in laparoscopic group and the other 94 cases in laparotomy group.Results Indicators such as anal sphincter preservation rate,intraoperatve blood soss,postoperative analgesia,postoperative passage of flatus,indwelling catheter time and postoperative hospital stay of the two groups had a statistically significant difference（P0.05）.However,the operative time,specimen size,distance away from the cutting edge,number of lymph nodes of the two groups had no significant differences（P0.05）.Conclusion Laparoscopic which treats medium and low rectal cancer with less bleeding,better recovery of digestive system and urinary system and less complications is worthy of the clinical recommendations.

关 键 词：腹腔镜 开腹术 中、低位直肠癌 全直肠系膜切除术 

分 类 号：R656[医药卫生—外科学] R657.1[医药卫生—临床医学]