CAJ | 학술논문

对46例腹腔镜辅助和33例经肛拖出式全腹腔直肠前切除治疗的中低位直肠癌患者的临床资料进行对比分析。两组的术中出血量(P =0.5795)、清扫淋巴结数目(P =0.1863)比较差异无统计学意义。经肛拖出组手术时间较腹腔镜辅助组要明显短(P=0.0027)，且经肛拖出组肠功能恢复时间较腹腔镜辅助组短(P=0.0108)、平均费用低(P=0.0037)及住院时间较短(P=0.0019)。经肛拖出式全腹腔镜直肠前切除术创伤小，恢复快，作为腹腔镜手术是安全有效的。
대46례복강경보조화33례경항타출식전복강직장전절제치료적중저위직장암환자적림상자료진행대비분석。량조적술중출혈량(P =0.5795)、청소림파결수목(P =0.1863)비교차이무통계학의의。경항타출조수술시간교복강경보조조요명현단(P=0.0027)，차경항타출조장공능회복시간교복강경보조조단(P=0.0108)、평균비용저(P=0.0037)급주원시간교단(P=0.0019)。경항타출식전복강경직장전절제술창상소，회복쾌，작위복강경수술시안전유효적。
Clinical data of 46 patients with rectal cancer undergoing laparoscopic surgery and 33 patients undergo-ing laparoscopic surgery by pull through technique surgery for anterior resection of rectum were analyzed retrospec-tively. No significant difference was found between the two groups in operative blood loss and the number of lymph nodes dissected. The length of recovery time of intestinal peristalsis, operative time, hospital stay and cost in pul-ling through technique surgery group was significantly lower than those in the laparoscopic surgery group. Laparo-scopic surgery by pull through technique surgery for anterior resection of rectum for patients with rectal cancer is safe, effective and less invasive.