腹腔镜手术治疗直肠癌安全性的临床分析

目的:分析腹腔镜手术治疗直肠癌的安全性.方法:将2007 年6 月至2011 年3 月间在我院接受手术治疗的125 例直肠癌患者随机分为两组,对照组(n ＝60)接受传统开腹手术治疗,研究组(n＝65)行腹腔镜手术治疗,比较两组患者的手术安全性、并发症及术后随访等情况.结果:对照组6 例患者术后因肺部感染死亡,研究组无死亡病例;对照组患者术后并发症发生率高达48.3%(29/60),而研究组仅为7.7%(5/65),两组比较差异显著P＜0.01.术后随访显示两组患者近期肿瘤复发及远处转移率相似,比较差异不明显P＞0.05.结论:腹腔镜手术治疗直肠癌安全、有效,是结直肠癌治疗的较好选择.

The Clinical Treatment Security of Rectal Cancer by Laparoscopic Surgery

Objective: To analyze the treatment security of rectal cancer by laparoscopic surgery. Method: Divided 125 cases of rectal cancer patients admitted to our hospital from Jun.2007 to Mar.2011 randomly into two groups,the control group(n=60) were given traditional abdominal surgery,study group(n=65) were given laparoscopic surgery,compared surgical safety,complications and postoperative follow-up condition of two groups. Result: 6 patients in control group died from lung infection after surgery,there was no death case in study group;The incidence of postoperative complications in control group was up to 48.3%(29/60),but the study group was only 7.7%(5/65),the difference was significant between two groups(P<0.01).Postoperative follow-up showed the recent rate of tumor recurrence and distant metastasis of two groups patients is similar,there’s no significant differences(P>0.05). Conclusion: Laparoscopic colorectal surgery is safe and effective,is a good choice for the treatment of rectal cancer.