腹腔镜下中低位直肠癌保肛术23例分析被引量：2

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摘要目的探讨腹腔镜下中低位直肠癌保肛手术在基层医院应用的可行性、近期疗效性。方法回顾性分析48例中低位直肠癌患者的临床资料，其中腹腔镜手术23例，传统开腹手术25例。结果腹腔镜手术组1例（1／23）中转开腹手术，两组在手术时间、术后肛门排气时间、术后平均住院时间、卫生耗材费用等方面差异有统计学意义，而在术中出血量、清扫淋巴结数目、术后并发症发生率等方面差异无统计学意义，48例患者术后病理检查结果切缘均阴性。结论腹腔镜中低位直肠癌保肛手术与开腹手术比，具有出血少、恢复快等优点，并能达到根治的要求，只要具备一定的手术条件、患者选择合理，可在基层医院推广应用。

作者陈少珑黄顺荣

机构地区广西隆安县人民医院普外科广西壮族自治区人民医院胃肠外科

出处《临床外科杂志》 2013年第3期217-218,共2页 Journal of Clinical Surgery

关键词基层医院直肠肿瘤腹腔镜保肛手术

分类号 R735.37 [医药卫生—肿瘤]

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