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作 者:杨凯[1,2] 胡燕[1,2] 侯远发 赵鹏[1,2]
机构地区:[1]广东省云浮市人民医院 [2]南方医科大学附属云浮医院腹部外科,云浮527300
出 处:《中国肿瘤临床与康复》2015年第6期708-710,共3页Chinese Journal of Clinical Oncology and Rehabilitation
基 金:云浮市医药卫生科研课题(编号:2013B14)
摘 要:目的比较腹腔镜与传统手术联合新辅助放化疗治疗直肠癌的临床疗效。方法选取2011年6月至2013年6月间治疗的56例直肠癌患者,随机分为腹腔镜手术组和传统手术组,所有患者术前均行新辅助放化疗,新辅助放化疗结束6~8周后,行直肠癌根治术。结果两组患者的手术方式、淋巴结清扫数目及并发症、复发情况等方面差异无统计学意义(P〉0.05)。腹腔镜手术组术中出血量、术后恢复时间、住院时间均显著短于传统手术组(P〈0.05),手术时间长于传统手术组(P〈0.05)。结论腹腔镜联合新辅助放化疗治疗直肠癌与传统手术相比并未增加手术风险,且有同样的疗效,安全可行,可临床推广应用。Objective To compare the treatment effect of laparoscopic and traditional operation fol- lowing neoadjuvant chemotherapy for rectal cancer. Methods 56 patients with rectal cancer of our hospital in June ,2011 to June, 2013, were divided into laparoscopic operation group and traditional operation group randomly, all the patients underwent preoperative neoadjuvant chemotherapy, proceed radical resection of rectal cancer after 6-8 weeks. Results There were insignificant differences in the mode of operation, the number of lymph node dissection , complications and recurrence between these two groups ( P 〉 0. 05 ) ; lap- aroscopic operation group were significantly shorter in the amount of bleeding, postoperative recovery time, hospital stay than the traditional operation ( P 〈 0. 05 ), operation time was longer than the traditional opera- tion (P 〈 0. 05). Conclusion Compare to the patiens with rectal cancer which had received neoadjuvant chemoradiotherapy, laparoscopic surgery is better than the traditional surgery
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