手辅助腹腔镜与开腹直肠癌前切除术的对照研究

目的探讨手辅助腹腔镜(hand-assistedlaparoscopic surgery,HALS)直肠癌前切除术的安全性、可行性及微创性。方法将住院的60例直肠癌患者随机分为HALS组(28例)和开腹组(32例)两组,比较两组的手术时间、术中出血量、淋巴结清扫数、术后肛门排气时间、术后住院时间、术后并发症及C反应蛋白的变化。结果 HALS组术中出血量、术后肛门排气时间、术后住院时间、术后6天C反应蛋白均少于开腹组。结论手辅助腹腔镜直肠癌前切除术安全有效,具有创伤小、术后恢复快等优点。

A comparative study of hand-assisted laparoscopic versus open anterior resection for rectal cancer

Objective To study the safety and invasiveness of hand-assisted laparoscopic anterior resection for rectal cancer.Methods Sixty patients undergoing anterior resection for rectal cancer were randomly divided into HALS group and open group,and all the lesions were located up the peritoneal reflection.Data of patients of two groups,which included operating time,intraoperative blood,lymph node harvests,postoperative flatus time,hospital stay,complications and C-reactive protein were compared.Results The mean intraoperative blood loss,postoperative flatus time,hospital stay and C-reactive protein in HALS group were significantly less than that in open anterior resection for rectal cancer group;bu t there was no significant difference in operating time,complication and recurrence rate.Conclusion HALS is feasible and safe in rectal cancer patients.