摘要
目的:对比低位直肠癌采取腹腔镜和传统开放术式根治的临床疗效。方法:回顾性选取我科2011-01-2012-01行手术治疗的低位直肠癌患者共90例,随机将所有患者分为腹腔镜组和开腹组,对比2组患者的手术及术后一般情况、肿瘤根治性、术后并发症发生率和复发率。结果:腹腔镜组患者的手术时间、术中出血量、腹部切口长度、术后排气时间、术后导尿管留置时间、术后进流食时间、术后住院时间、术中或术后输血率和术后应用镇痛剂率显著低于开腹组(P<0.01)。腹腔镜组和开腹组的清扫淋巴结总数、近切缘距离、远切缘距离、环周切缘阴性率和远切缘阴性率差异无统计学意义(P>0.05)。腹腔镜组的术后并发症发生率为6.66%,显著低于开腹组的26.64%(χ2=4.4677,P<0.05)。腹腔镜组和开腹组随访3年的局部复发率、远处转移率和总生存率分别为2.22%、6.66%;8.89%、20.00%;95.56%、82.22%,差异均无统计学意义(P>0.05)。腹腔镜组的无瘤生存率显著高于开腹组(P<0.01)。结论:腹腔镜治疗低位直肠癌创伤小,术后恢复佳,并发症发生率低,同时可降低远期复发率,明显优于开腹手术。
Objective：To compare the clinical efficacy of laparoscopic and traditional open surgical resection for lower colorectal cancer.Method：Ninety cases of low colorectal cancer patients with surgery in our department from January 2011 to January 2012 were randomly divided into laparoscopic group and laparotomy group.The general condition,radical tumor,postoperative complications and recurrence rate were compared in two groups of patients.Result：Surgery time,blood loss,abdominal incision length,postoperative exhaust time,postoperative catheterization time after time into the flow of food,postoperative hospital stay,intraoperative or postoperative blood transfusion Application rate and postoperative analgesics in the laparoscopic group was significantly lower than the open group,P〈0.01.The total number of lymph node dissection,nearly cutting edge distance,far from the cutting edge,negative circumferential resection margin rate and far negative margins in the laparoscopic group and open group was no significant difference,P〉0.05.Postoperative complications of laparoscopic group was 6.66%,significantly lower than the 26.64% laparotomy group,χ^2=4.4677,P〈0.05.Laparoscopic group and open group were followed up for three years of local recurrence,distant metastasis and overall survival rates were 2.22%,6.66%;8.89%,20.00%;95.56%,82.22%,no significant difference,P〉0.05.Free survival was significantly higher in the laparoscopic group,P〈0.01.Conclusion：Laparoscopic treatment of low colorectal cancer trauma,postoperative recovery is good,low complication rate,while reducing long-term recurrence rate was significantly better than open surgery.
出处
《临床急诊杂志》
CAS
2015年第10期774-777,781,共5页
Journal of Clinical Emergency
关键词
腹腔镜
开腹手术
低位直肠癌
laparoscopy
laparotomy
low colorectal cancer
