无切口腹腔镜直肠癌切除术的临床效果分析

目的探讨无切口腹腔镜下直肠癌切除术的临床效果。方法回顾性分析2010年3月至2015年7月117例直肠癌患者的临床资料,按照直肠癌切除术的方式不同分为腹腔镜组和开腹组,对比两组的治疗效果。数据分析采用SAS9.0处理,组间比较采用t检验,两组的手术时长、术中出血量、切除标本数据、总住院时长等计量指标采用均数±标准差(x珋±s)表示;记录患者的术后恢复情况及并发症发生率,计数资料比较采用χ~2检验,P值0.05表示差异具有统计学意义。结果两组术中各项指标比较显示:两组切除标本长度、清扫淋巴结数、近切缘距离相比,差异不具有统计学意义(P0.05);腹腔镜组手术时间、术中出血量少于开腹组,远切缘距离显著长于开腹组(P0.05);腹腔镜组平均住院时间(5.8±1.5)d显著小于开腹组平均住院时间(8.8±2.1)d(t=2.619,P0.01),差异具有统计学意义。通过术后第2、第7个月随访,腹腔镜组患者总并发症发生率为1.61%(1/62)明显低于开腹组患者总并发症发生率为10.91%(6/55)差异具有统计学意义(χ~2=4.477,P0.05)。结论腹腔镜下直肠癌切除术可以明显缩短手术时间、减少术中出血量、缩短患者住院时间、减少并发症的发生,临床疗效显著。

Clinical effect analysis of laparoscopic resection of rectal cancer without incision

Objective To investigate the clinical effect of laparoscopic resection treatment on rectal cancer without incision . Methods Retrospective analysis of clinical data from March 2010 to July 2015, 117 cases of colorectal cancer patients are divided into laparoscopic group and open group , comparing the efficacy of these two different methods on treating colorectal cancer .SAS9.0 was used for data analysis with t test for comparison.The length of operation time, intraoperative blood loss, surgical resection specimen data, total length of stay and other measurement indicators were presented as mean ±standard deviation ( x±s);The postoperative recovery time and complication rate of patients were recorded , and the count data were compared withχ2 test.P<0.05 was thought to be statistically significant . Results Comparing indicators of the two groups showed that no significant differences existed in the number of lymph nodes , the distance of the proximal cut edge between the two groups ( P>0.05);The operation time and intraoperative blood loss in the laparoscopic group was less than those in the open group , and the distal cutting edge in the laparoscopic group was significantly longer than that in the open group (P<0.05).The average hospital stay in the laparoscopic group was (5.8 ±1.5) d which was significantly less than that in the open group (8.8 ±2.1) d (t=2.619, P<0.01).The incidence of complications in the total laparoscopic group was 1.61% (1/62) at post-operative 2 and 7 months, which was significantly lower than that in the laparotomy group with a incidence of 10.91% (6/55) (χ2 =4.477, P <0.05). Conclusion Laparoscopic resection of rectal cancer can significantly shorten the operation time , reduce the amount of bleeding during operation , shorten the hospital stay, and reduce the incidence of complications , leading to remarkable clinical curative efficacy .