腹腔镜与开腹直肠前切除术的近期疗效对比分析

目的:对比分析腹腔镜与开腹直肠前切除术治疗直肠肿瘤的近期临床效果。方法:选取2014年5月至2015年10月收治的105例直肠肿瘤患者,随机分为腹腔镜组(行腹腔镜手术,n=52)与开腹组(行开腹手术,n=53),对比两组患者的手术相关指标(包括手术时间、术中出血量、切口长度)、术后恢复指标(包括术后下床活动时间、拔除引流管时间、第一次排气时间、住院时间)、肿瘤根治性指标(淋巴结清扫数量、肿瘤远端切缘、切除肿瘤标本长度)。结果:两组患者手术时间、术中出血量、切口长度差异有统计学意义(P0.05);两组肿瘤根治性指标差异无统计学意义(P0.05);腹腔镜组术后下床活动时间、进流质食物时间、第一次排气时间、拔除引流管时间、住院时间均短于开腹组(P0.05)。结论:直肠肿瘤患者行腹腔镜手术是安全、可行的,与传统开腹手术相比,具有更好的近期临床疗效。

Comparative analysis of the recent curative effect of laparoscopic and open Dixon operation

Objective:To compare and analyze the recent clinical effect of laparoscopic and open Dixon operation in the treat-ment of rectal tumor.Methods:From May 2014 to Oct.2015,105 patients with rectal tumor were selected and randomly divided into the laparoscopic group (n=52) and the laparotomy group (n=53),the patients of the laparoscopic group were treated with laparoscopic surgery,the patients of the laparotomy group were treated by laparotomy.Operative indicators ( operative time,intraoperative blood loss, incision length) ,postoperative recovery indexes ( postoperative ambulation time,time of drainage tube removal,time to first flatus,hospi-tal stay) and tumor radical related indexes ( harvested lymph node,distal edge to the tumor,length of the specimen) were compared be-tween the two groups.Results:The operative time,intraoperative blood loss and incision length of two groups were significantly different (P<0.05).The cancer radical related indicators were not statistically significantly different (P>0.05).The postoperative ambulation time,first time of intaking liquid food,time to first flatus,time of drainage tube removal,hospital stay of laparoscopic group were signifi-cantly shorter than those of laparotomy group ( P<0.05 ) .Conclusions:Laparoscopic surgery is safe and feasible in the treatment of rectal tumor,compared with the traditional open operation,laparoscopy has better clinical curative effect in the near future.