腹腔镜直肠癌手术与传统开腹直肠癌手术的临床效果比较

目的 探究腹腔镜手术与传统开腹手术用于直肠癌治疗的临床效果.方法 选取2010年6月至2014年6月我院收治的直肠癌患者46例,随机分为对照组(23例)和观察组(23例),其中对照组采取传统开腹手术治疗,观察组接受腹腔镜直肠癌根治术治疗.比较两组患者的临床疗效及随访情况.结果 与对照组相比,观察组手术时间较长,而术中出血量、切口总长度、肛门排气时间、导尿管留置时间、肠道功能恢复时间和住院天数等显著缩短,差异具有统计学意义(P＜0.05);两组患者在并发症发生率、远处转移率、局部复发率和3年无瘤生存率方面比较,差异无统计学意义(P＞0.05).结论 两种治疗方法具有相似的近期和远期疗效,但腹腔镜直肠癌根治术在减轻创伤、促进肠道恢复、缩短住院时间等方面更具优势,值得推广应用.

Laparoscopic surgery versus traditional open surgery for rectal cancer

Objective To explore the clinical effect of laparoscopic surgery and traditional open surgery for rectal cancer.Methods 46 patients with rectal cancer treated at our hospital from June,2010 to June,2014 were selected and randomly divided into a control group (23 cases) and an observation group (23cases).The control group were treated with traditional open operation and the observation group laparoscopic radical resection.The clinical efficacy and follow-up conditions of the two groups were observed and compared.Results The operation time was longer,the bleeding volume was lower,the total length of incision was shorter,and the time of anus exhaust,the time of catheter indwelling,the recovery time of intestinal function,and hospital stay were significantly shorter in the observation group than in the control group,with statistical differences (P＜0.05).There were no statistical differences in the incidence of complications,distant metastasis rate,local recurrence rate,and 3 year disease-free survival rate between these two groups (P＞0,05).Conclusions Two kinds of treatment methods have similar short-term and long-term effects,but laparoscopic radical resection of rectal cancer has more advantages in the reduction of trauma,promotion of intestinal recovery,shortening the length of hospital stay and so on.It is worth being generalized.