腹腔镜TME与开腹TME治疗老年中低位直肠癌的短期疗效比较  

Compare the short-term efficacy of laparoscopic TME and laparotomy TME on treating elderly patients with median and low colorectal cancer

作　　者：周应舒 朱明达[1] 高晶晶[1] 殷红专[1] 尹剑桥[1] 闫兆鹏[1] 苏琪[1] 

机构地区：[1]中国医科大学附属盛京医院普外八科,辽宁沈阳110004

出　　处：《中国现代医生》2016年第9期40-42,共3页China Modern Doctor

摘　　要：目的比较腹腔镜下全直肠系膜切除术（total mesorectal excision,TME）与开腹TME治疗老年中低位直肠癌的短期疗效。方法随机选取我院2013年1月～2015年1月间的125例中低位直肠癌的老年患者,并随机分为试验组（65例）和对照组（60例）。对照组采用开腹TME,试验组采用腹腔镜下TME,比较两组的短期疗效。结果试验组的其他术中指标和术后指标均优于对照组（P〈0.05）;其中试验组的术后感染率（1.54%）低于对照组（8.33%）（P〈0.05）;试验组的并发症发生率（7.70%）低于对照组（35.00%）（P〈0.05）。结论较之开腹TME,腹腔镜下TME全面改善术中和术后指标,减少手术损伤,提升保肛率,促进术后恢复,减少并发症的发生。Objective To compare the short-term efficacy of laparoscopic TME and laparotomy TME on treating elderly patients with median and low colorectal cancer. Methods 125 cases of elderly patients with median and low colorectal cancer in our hospital between January 2013 and January 2015 were randomly selected and were randomly divided into the experimental group（65 cases） and the control group（60 cases）. The control group was treated with Laparotomy TME,while the experimental group was treated with laparoscopic TME. The short-term efficacy of the two groups was compared. Results Intraoperative and postoperative indicators indexes of the experimental group were better than those of the control group（P〈0.05）; the infection rate of the experimental group（1.54%） was lower than that of the control group（8.33%）（P〈0.05）;the complication rate of the experimental group（7.70%） was lower than that of the control group（35.00%）（P〈0.05）. Conclusion Compared with laparotomy TME, laparoscopic TME can improve the overall indexes during and after surgery, reduce surgical trauma, improve sphincter preservation rate, promote postoperative recovery and reduce complication rate.

关 键 词：腹腔镜 开腹手术 TME 中低位直肠癌 短期疗效 

分 类 号：R735.7[医药卫生—肿瘤]