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单孔腹腔镜与传统多孔腹腔镜直肠癌根治术的效果比较 被引量:40

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摘要 目的通过对比分析单孔腹腔镜及传统多孔腹腔镜直肠癌根治术的相关指标,评价单孔腹腔镜技术在直肠癌根治术中的优势及临床应用价值。方法将符合纳入标准的患者随机分为单孔腹腔镜组与传统多孔腹腔镜组,每组各30例,对比分析两种手术方式的手术安全性、有效性、术前及术后免疫功能的变化、术中副损伤、术后恢复情况,评价两种手术方式的差异及优越性。结果两组手术时间、术中出血量、清扫淋巴结个数、清扫阳性淋巴结个数、近切缘距肿瘤上缘距离、远切缘距肿瘤下缘距离、环周切缘阳性率、术中副损伤、术后并发症方面差异无统计学意义(P>0.05),而在术后白细胞介素-6、C反应蛋白、CD3+T细胞、CD4+T细胞的变化以及术后首次下床时间、切口长度方面差异有统计学意义(P<0.05)。结论单孔腹腔镜直肠癌根治术是安全、可行、有效的,同时在免疫功能保护、术后恢复、术后疼痛以及美容效果等方面更具有优越性,能够最大限度地减轻手术带来的创伤,值得在临床中推广运用。
出处 《广东医学》 CAS 北大核心 2016年第3期389-392,共4页 Guangdong Medical Journal
基金 贵阳市科技计划项目(编号:筑科合同[20151001]社55号)
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参考文献18

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共引文献431

同被引文献341

引证文献40

二级引证文献116

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