腹腔镜手术对比传统开腹手术治疗直肠癌的优势分析  

Analysis of the Advantages of Laparoscopic Surgery Compared with Traditional Open Surgery for Rectal Cancer

作　　者：王涛[1] WANG Tao(Yixing City People's Hospital,Yixing,Jiangsu 214200,China)

机构地区：[1]宜兴市人民医院,江苏宜兴214200

出　　处：《大医生》2020年第12期51-53,共3页Doctor

摘　　要：目的分析腹腔镜手术对比传统开腹手术治疗直肠癌的优势。方法选取宜兴市人民医院2018年1月至2019年12月期间治疗的直肠癌患者68例按照抽签法分为参照组与观察组,每组34例。参照组应用传统开腹手术治疗,观察组应用腹腔镜手术治疗,分析比较两组患者手术指标、术后恢复、并发症发生情况。结果针对手术指标而言,观察组切口长度与参照组比较,明显缩短;手术时间与参照组比较,明显延长;术中出血量与参照组比较,明显减少,组间对比差异有统计学意义(P<0.05)。对于术后恢复情况来说,观察组排气时间、进食时间、住院时间与参照组比较显著缩短,差异有统计学意义(P<0.05)。观察组并发症发生率为8.82%,与参照组比较显著降低,差异有统计学意义(P<0.05)。结论相较于传统开腹手术而言,腹腔镜手术治疗直肠癌的切口更小,术中出血量更少,术后恢复更快,并发症发生率更低,值得临床推荐应用。Objective To analyze the advantages of laparoscopic surgery compared with traditional open surgery in the treatment of rectal cancer.Methods Sixty eight patients with rectal cancer treated in Yixing City People's Hospital from January 2018 to December 2019 were selected and divided into the control group and the observation group,34 cases in each group.The reference group was treated with traditional open surgery,and the observation group was treated with laparoscopic surgery.The operation indexes,postoperative recovery and complications of the two groups were analyzed and compared.Results Compared with the reference group,the incision length of the observation group was significantly shorter than that of the reference group;the operation time was significantly prolonged compared with the reference group;the intraoperative blood loss was significantly reduced compared with the reference group,and the difference between the two groups was statistically significant(P<0.05).For the postoperative recovery,the exhaust time,eating time and hospitalization time in the observation group were significantly shorter than those in the control group(P<0.05).The incidence of complications in the observation group was 8.82%,which was significantly lower than that in the control group(P<0.05).Conclusion Compared with traditional open surgery,laparoscopic surgery for rectal cancer has smaller incision,less intraoperative blood loss,faster postoperative recovery and lower incidence of complications,which is worthy of clinical recommendation.

关 键 词：直肠癌 腹腔镜手术 传统开腹手术 

分 类 号：R73[医药卫生—肿瘤]