腹腔镜下直肠癌根治术与Dixon术的疗效对比  

Laparoscopic radical resection of rectal cancer and rectal cancer Dixon operation curative effect contrast

作　　者：蔡锚[1] 胡万乐[1] 郑晨果[1] 刘长宝[1] 

机构地区：[1]温州医科大学附属第二医院,温州325200

出　　处：《浙江创伤外科》2015年第6期1073-1076,共4页Zhejiang Journal of Traumatic Surgery

摘　　要：目的比较腹腔镜直肠癌根治术与经腹直肠癌切除术的治疗效果,为直肠癌临床治疗方案的选择提供理论依据。方法选取2010年1月至2015年3月本院收治的直肠癌患者234例,随机分为关观察组和对照组,观察组119例行腹腔镜下直肠癌根治术,对照组115例行经腹直肠癌切除术,分析比较两组患者的术中出血量、术中清扫淋巴结数量、手术时间、术后恢复情况。结果两组患者的一般资料统计结果显示,患者平均年龄、性别比例、病程时长及Dukes分期均无统计学差异(P>0.05);观察组患者平均术中出血量显著低于对照组(P<0.05);观察组患者留置导尿管时间、术后肛门排气时间和总住院时间明显短于对照组(P<0.05);观察组术后肠梗阻、尿储留、切口感染的发生率显著低于对照组(P<0.05),两组数据比较差异具有统计学意义。结论腹腔镜手术治疗直肠癌在有效根治肿瘤的同时有着手术出血量少、术后恢复较快、并发症少等优点,治疗效果较Dixon手术更为突出,值得临床推广应用。Objective To compare laparoscopic rectal cancer resection and abdominal resection of rectal cancer,to provide a theoretical basis for clinical treatment choice for rectal cancer. Methods 234 cases of rectal cancer patients in January 2010 March 2015 in our hospital were ran-domly divided into observation group and control group,119 cases in the observation group were treated with laparoscopic rectal cancer resection,115 cases in the control group were treated with routine abdominal rectal cancer resection. The blood loss, the number of lymph node dissection, operative time,postoperative recovery were recorded and compared. Results The mean age,gender,duration of the duration and Dukes stage in the two groups had no statistically different（P〉0.05）. The blood loss in the observation group was significantly lower than that in the control group（ P〈0.05）.The operative time,catheterization time,postoperative flatus time and total hospital stay in the observation group were significantly shorter than those in the control group（P〈0.05）. The anastomotic fistula,intestinal obstruction,urinary retention,wound infection rate in the observation group were significantly lower than those in the control group（P〈0.05）. Conclusion Laparoscopic surgery applied in rectal cancer had less bleeding,rapid postoperative recovery,fewer complications,treatment effect was more prominent than the Dixon surgery.

关 键 词：直肠癌 腹腔镜 经腹直肠癌切除术 临床疗效 

分 类 号：R735.3[医药卫生—肿瘤]