腹腔镜直肠癌根治术与开腹手术短期疗效的比较  

Comparison of the short-term efficacy between laparoscopic and open rectal cancer radical surgeries

作　　者：张仁汉[1] 佘军军[2] 

机构地区：[1]西安交通大学医院外科,陕西西安710061 [2]西安交通大学医学院第一附属医院普外科,陕西西安710061

出　　处：《西安交通大学学报（医学版）》2014年第6期862-864,共3页Journal of Xi’an Jiaotong University（Medical Sciences）

基　　金：国家自然科学基金资助项目(No.81072108)~~

摘　　要：目的探讨腹腔镜与开腹直肠癌根治术的短期疗效。方法对腹腔镜(68例)和开腹(64例)直肠癌根治术患者的临床资料进行回顾性分析,对两组患者的短期疗效进行对比分析。结果腹腔镜组较开腹组患者手术时间和住院费用增加(P<0.05),但腹腔镜组术中出血量明显减少(P<0.01),术后镇痛剂使用比例降低(P<0.01),术后尿管留置时间、胃肠道功能恢复时间及住院时间缩短(P<0.05);腹腔镜组术后并发症总发生率为23.53%,开腹组为34.38%,两组间差异有统计学意义(P<0.05)。结论与开腹手术相比较,经腹腔镜下直肠癌根治术具有创伤小,疼痛轻,术后恢复快,住院时间短,并发症少的优点,是目前直肠癌的一种安全微创的治疗方法。Objective To evaluate the short-term efficacy for rectal cancer treated by laparoscopic and open radical surgeries. Methods Sixty-eight laparoscopic and sixty-four open operation cases selected from the same surgical group were compared. Results The operation time of laparoscopic surgery was longer than that of open surgery and the cost of laparoscopic group was more than that of open surgery （P〈0.05）. Meanwhile, blood loss in laparoscopic group was less than in the open group （P〈0.01）. The proportion of analgesics using in laparoscopic group decreased after surgery compared with the open group （P〈0.01）. The urinary and gastrointestinal function recovery time and the hospital stay in laparoscopic group were shorter than in the open group after surgery （ P〈 0.05）. The postoperative complication rate was 23.53% in laparoscopic group and 34.38% in the open group （P〈 0.05）. Conclusion Laparoscopic surgery brings less trauma, less pain, faster recovery, shorter hospital stay, and fewer postoperative complications than open surgery. Therefore, it is currently a safe and minimally invasive treatment for rectal cancer.

关 键 词：腹腔镜 直肠癌 治疗 

分 类 号：R735.3[医药卫生—肿瘤]