腹腔镜辅助根治性手术和开腹手术治疗直肠癌短期疗效比较  

COMPARISON OF CURATIVE EFFECT OF LAPAROSCOPIC ASSISTED RADICAL OPERATION AND OPEN OPERATION IN THE TREATMENT OF RECTAL CANCER

作　　者：徐飞鹏[1] 许庆文[1] 王妃凤[1] 周才进[1] 林琳[1] 

机构地区：[1]广东医学院附属医院,广东广州524001

出　　处：《现代医院》2015年第10期29-30,33,共3页Modern Hospitals

基　　金：卫生部医药卫生科技发展研究中心课题(编号:W2013R07)

摘　　要：目的探究腹腔镜辅助根治性手术和开腹手术治疗直肠癌的短期临床疗效比较。方法将我院收治的50例直肠癌患者随机分为研究组和对照组,每组各25例,研究组患者行腹腔镜辅助根治性手术,对照组患者行开腹手术,对比两组患者的手术相关资料、肿瘤学指标和并发症发生情况。结果研究组患者术中出血量、切口长度、术后首次排气时间、开始进流食时间、术后首次排便时间、下床活动时间均显著少于对照组(p<0.01);研究组患者标本的肿瘤大小、直肠标本长度、直肠远切缘距离、清扫淋巴结数、阳性淋巴结数与对照组相比,无统计学意义差异(p>0.05);研究组患者除了术后肺感染发生率低于对照组(p<0.05),其他术中、术后并发症的发生率均无统计学意义差异。结论腹腔镜辅助根治性手术治疗直肠癌安全可靠,短期疗效良好具有临床应用价值。Objective To explore the clinical efficacy of laparoscopic operation and laparotomyin the treatment of rectal cancer after radical operation. Methods In our hospital,50 cases of rectal cancer patients were randomly divided into study group and control group,25 cases in each group. Study group underwent laparoscopic assisted radical operation,and the control group underwent laparotomy operation. The clinical data,oncology indexes and complications rate of two groups were compared. Results In study group,the intraoperative blood loss,length of incision,postoperative first exhaust time,eating time,started after the first defecation time and ambulation time were significantly less than those in control group（ P〈0. 01）; There was no significant difference of tumor size,rectum,rectal specimen lengthdistance of cutting edge,lymph node dissection the number of positive lymph nodes between two groups（ P〉0. 05）. Patients in study group has lower complications rate than that in control group,except pulmonary infection（ P〉0. 05）. Conclusion Laparoscopic radicaloperation for rectal cancer is safe and reliable,with good short- term efficacy and clinical value.

关 键 词：腹腔镜 根治性手术 开腹手术 直肠癌 

分 类 号：R737.33[医药卫生—肿瘤]