腹腔镜与开腹直肠癌根治术的疗效比较  

Clinical comparison of laparoscopic and open radical resection in rectal carcinoma

作　　者：邓祖亮[1] 

机构地区：[1]湘南学院附属医院普外科,湖南郴州423000

出　　处：《中国内镜杂志》2014年第6期642-645,共4页China Journal of Endoscopy

摘　　要：目的比较腹腔镜与开腹直肠癌根治术的临床效果。方法收集2007年3月-2012年9月该院施行腹腔镜下直肠癌根治术52例患者的临床资料,对术中、术后相关指标进行统计学分析,并与同期55例开腹手术进行比较。结果腹腔镜组与开腹组的手术时间分别为（230.5±45.6）和（175.3±38.7）min,术中失血量分别为（90.3±41.5）和（168.3±43.6）mL,差异有显著性（P〈0.05）;腹腔镜组术后排气时间、自主排尿时间、进食时间、术后住院时间均明显短于开腹组,差异有显著性（P〈0.05）;腹腔镜组术后并发症7例（13.46%）,开腹组9例（16.36%）,差异无显著性（P〉0.05）。结论腹腔镜下直肠癌根治术具有创伤小,出血少,术后恢复快,住院时间短等优势,效果可与开放手术媲美。[ Objective ] To compare the clinical effect of laparoscopic and open radical resection of rectal car- cinoma. [ Methods ]The data of 52 patients, who underwent radical resection of rectal carcinoma in our hospital from March 2007 to September 2012, were collected for statistical analysis on intraoperative and postoperative correlated indexes compared with 55 patients who underwent open operation during the same period. [Results]The operative time and intraoperative blood loss was （230.5±45.6） min and （90.3±41.5） mL in laparoscopic operation group, and （175.3±38.7） rain and （168.3±43.6） mL in open operation group （P〈0.05）, respectively. The anal exsufflation time, automatic micturition time, taking food time and postoperative length of stay in laparoscopic operation group were shorter than those in open operation group （P 〈0.05）. There was no statistical significance in postoperative complica- tions incidence rate between the two groups, 13.46% （7 cases） in laparoscopic operation group and 16.36% （9 cases） in open operation group （P 〉0.05）. [ Conclusion ] Laparoscopic radical resection of rectal carcinoma has the similar outcome of open operation and advantages such as slight trauma, few blood loss, rapid postoperative recovery, short length of stay.

关 键 词：直肠癌根治术 腹腔镜手术 开腹手术 

分 类 号：R735.37[医药卫生—肿瘤]