腹腔镜辅助下直肠癌根治术在直肠癌治疗中的应用  

Application of Laparoscopic-assisted Radical Resection in the Treatment of Rectal Carcinoma

作　　者：李鼎[1] 高志斌[1] 徐爱兵[1] 薛秋[1] 曹广鑫[1] 张学良[1] 

机构地区：[1]南通市肿瘤医院普外科,江苏南通226361

出　　处：《肿瘤基础与临床》2016年第1期55-57,共3页journal of basic and clinical oncology

摘　　要：目的探讨腹腔镜辅助下直肠癌根治术的安全性及有效性。方法将60例直肠癌患者分为腹腔镜组(30例)和开腹组(30例)进行直肠癌根治术,并对其临床效果进行对比分析。结果腹腔镜组术中出血量、术后引流量明显少于开腹组(P<0.05);2组手术时间、术后通气时间、术后住院时间、淋巴结清扫数目以及术后并发症发生率差异无统计学意义(P>0.05)。结论腹腔镜辅助下直肠癌根治术具有安全性高、创伤轻、术后快速恢复等优点,更可达到开腹的效果,是一种极具应用前景的微创新技术。Objective To explore the safety and efficacy of laparoscopic-assisted radical resection in the treatment of rectal carcinoma. Methods Sixty patients with rectal carcinoma were divided into the laparoscopic group（ 30 patients） and the laparotomy group（ 30 patients）,and their clinical results were compared. Results The blood loss and the drain of the laparoscopic group were significantly lesser than those of the laparotomy group（ P 〈0. 05）.There was no significant difference in the mean operative time,the intestinal function recovery time,the postoperative hospital stay,the lymph node dissection and the complication incidences between the two groups（ P 〈0. 05）. Conclusion The laparoscopic-assisted radical resection has the high safety and rapid postoperative recovery in the treatment of rectal carcinoma,and achieve the effect of abdominal tumor cure,is a very promising micro-innovation.

关 键 词：直肠癌 腹腔镜 开腹手术 根治术 

分 类 号：R735.37[医药卫生—肿瘤] R730.56[医药卫生—临床医学]