腹腔镜直肠全系膜切除术治疗中、低位直肠癌的临床研究

目的探讨腹腔镜直肠全系膜切除术(TME)治疗中、低位直肠癌的临床疗效。方法选择中、低位直肠癌患者96例,随机分为观察组与对照组各48例,观察组在腹腔镜下行TEM术,对照组则行开腹TME术,对比两组患者临床疗效。结果观察组术后肛门排气时间、住院时间及手术切口长度、术中出血量、术后VAS疼痛评分、围术期并发症发生率、术后性功能及泌尿功能障碍发生率等方面均显著优于对照组(P0.05),而手术时间、保肛率、肿瘤转移及复发率差异均无统计学意义(P0.05)。结论腹腔镜直肠全系膜切除术治疗中、低位直肠癌疗效确切且安全可靠,可在达到传统开腹手术疗效基础上降低并发症发生率。

Clinical study of laparoscopic total mesorectal excision for middle and lower rectal cancer

Objective To study the clinical effects of laparoscopeic total mesorectal excision （TME） in patients with middle and lower rectal cancer. Methods 96 patients with middle and lower rectal cancer were randomly divided into observation group （n = 48） and control group （n = 48）, the observation group were given laparoseopeic TME and the control group were given open TME, then the clinical effects were compared between two groups. Results Postoperative flatus, length of stay, surgical incision length, intraoperatve blood loss, postoperative VAS pain scores, perioperative complication rate, occurrence of postoperative sexual and urinary dysfunction in the observation group were significantly better than those in the control group （P 〈 0.05）. There were no significant differences in operation time the rates of a- nal preservation, recurrence, and metastasis between two groups （P 〉 0.05）. Conclusion Laparoscopeic TME is safe and reliable, with exact effects and fewer complications.