CAJ | 학술논문

　　目的对比分析手助腹腔镜与开腹结直肠切除术的临床效果，评价手助腹腔镜手术在结直肠肿瘤手术治疗中的应用价值。方法将收治的80例患者分为手助腹腔镜手术（35例）和开腹手术（45例）两组，分析两组的临床效果。结果 HALS 组有5例中转开腹。两组在手术时间、术后并发症发生率、术后复发率的差异无统计学意义（P ＞0.05）。两组在术中出血量、肠道功能恢复时间及术后住院时间的差异有统计学意义（P ＜0.05）。结论手助腹腔镜直肠癌根治术具有安全性高、手术时间短、创伤小、出血少、术后恢复快等优点，为腹腔镜手术的发展提供了新的方向，值得外科医师学习应用。
　　목적대비분석수조복강경여개복결직장절제술적림상효과，평개수조복강경수술재결직장종류수술치료중적응용개치。방법장수치적80례환자분위수조복강경수술（35례）화개복수술（45례）량조，분석량조적림상효과。결과 HALS 조유5례중전개복。량조재수술시간、술후병발증발생솔、술후복발솔적차이무통계학의의（P ＞0.05）。량조재술중출혈량、장도공능회복시간급술후주원시간적차이유통계학의의（P ＜0.05）。결론수조복강경직장암근치술구유안전성고、수술시간단、창상소、출혈소、술후회복쾌등우점，위복강경수술적발전제공료신적방향，치득외과의사학습응용。
Objective Comparison the clinical effect of hand-assisted laparoscopy and open colorectal resection.To evaluate the value of hand-assisted laparoscopic surgery in colorectal cancer surgery. Methods The 80 patients with rectal carcinoma were divided into hand-assisted laparoscopic surgery(35 cases) and open(45 cases) groups. Analysis the clinical effect of two groups. Results HALS group has 5 cases were converted to open. The two groups in the operation time, the rate of post-operative complication and postoperative recurrence rate has no statistical significance(P>0.05).Two groups in peri-operative bleeding, return of bowel function and hospital post-operative stay has statistical significance(P<0.05). Conclusion Hand-assisted laparoscopic radical resection of rectal carcinoma has the advantage of high safety, Short operation time,slight invasion, less bleeding and rapid post -operative recovery, etc. For laparoscopic surgery development provides new direction.