中国医师进修杂志
中國醫師進脩雜誌
중국의사진수잡지
CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE
2013年
29期
7-9
,共3页
直肠肿瘤%腹腔镜%开腹手术
直腸腫瘤%腹腔鏡%開腹手術
직장종류%복강경%개복수술
Rectal neoplasms%Laparoscopes%Open surgery
目的 比较腹腔镜与开腹直肠癌切除术的近期临床疗效,探讨腹腔镜直肠癌切除术的安全性和可行性.方法 回顾性分析68例行直肠癌切除术患者的临床资料,根据手术方式不同分为腹腔镜组31例和开腹组37例.结果 两组在淋巴结清扫数目和术后并发症方面比较差异无统计学意义(P＞0.05).腹腔镜组的手术时间明显长于开腹组[(162.03±39.78)min比(142.70±30.29)min],术中出血量明显少于开腹组[(153.23±58.94)ml比(247.46±92.51)ml],肠功能恢复时间和住院时间明显短于开腹组[(51.39±7.28)h比(77.81±11.68)h、(12.65±2.24)d比(15.29±3.11)d],差异均有统计学意义(P＜0.05或＜0.01).结论 腹腔镜直肠癌切除术可达到与传统开腹手术相似的近期临床疗效,而且在安全性及术后恢复方面更具优势,值得进一步推广.
目的 比較腹腔鏡與開腹直腸癌切除術的近期臨床療效,探討腹腔鏡直腸癌切除術的安全性和可行性.方法 迴顧性分析68例行直腸癌切除術患者的臨床資料,根據手術方式不同分為腹腔鏡組31例和開腹組37例.結果 兩組在淋巴結清掃數目和術後併髮癥方麵比較差異無統計學意義(P＞0.05).腹腔鏡組的手術時間明顯長于開腹組[(162.03±39.78)min比(142.70±30.29)min],術中齣血量明顯少于開腹組[(153.23±58.94)ml比(247.46±92.51)ml],腸功能恢複時間和住院時間明顯短于開腹組[(51.39±7.28)h比(77.81±11.68)h、(12.65±2.24)d比(15.29±3.11)d],差異均有統計學意義(P＜0.05或＜0.01).結論 腹腔鏡直腸癌切除術可達到與傳統開腹手術相似的近期臨床療效,而且在安全性及術後恢複方麵更具優勢,值得進一步推廣.
목적 비교복강경여개복직장암절제술적근기림상료효,탐토복강경직장암절제술적안전성화가행성.방법 회고성분석68례행직장암절제술환자적림상자료,근거수술방식불동분위복강경조31례화개복조37례.결과 량조재림파결청소수목화술후병발증방면비교차이무통계학의의(P＞0.05).복강경조적수술시간명현장우개복조[(162.03±39.78)min비(142.70±30.29)min],술중출혈량명현소우개복조[(153.23±58.94)ml비(247.46±92.51)ml],장공능회복시간화주원시간명현단우개복조[(51.39±7.28)h비(77.81±11.68)h、(12.65±2.24)d비(15.29±3.11)d],차이균유통계학의의(P＜0.05혹＜0.01).결론 복강경직장암절제술가체도여전통개복수술상사적근기림상료효,이차재안전성급술후회복방면경구우세,치득진일보추엄.
Objective To compare the clinical efficacy between laparoscopic resection and open resection for rectal cancer and explore the safety and feasibility of laparoscopic resection.Methods The clinical data of 68 patients suffering rectal cancer resection were analyzed retrospectively.The patients were divided into laparoscopic group(31 cases)and open group(37 cases)according to the operation method.Results There was no significant difference in the number of lymph nodes dissection and postoperative complication rate between two groups(P ＞ 0.05).The operation time in laparoscopic group was significantly longer than that in open group [(162.03 ±39.78)min vs.(142.70 ±30.29)min].The bleeding in laparoscopic group was less than that in open group [(153.23 ± 58.94)ml vs.(247.46 ± 92.51)ml].The recovery of intestinal function time and hospital stay in laparoscopic group was shorter than that in open group [(51.39 ±7.28)h vs.(77.81 ±11.68)h,(12.65 ±2.24)d vs.(15.29 ±3.11)d].And there were significant differences between two groups(P ＜ 0.05 or ＜ 0.01).Conclusion Laparoscopic resection for rectal cancer can achieve short-term clinical efficacy similar to the traditional open surgery,and advantages in terms of safety and postoperative recovery worthy of further promotion.
