CAJ | 학술논문

目的：探讨腹腔镜下直肠癌手术的并发症及其影响因素和预防及处理办法。方法回顾性分析2009年6月~2014年6月265例行腹腔镜下直肠癌根治术（腹腔镜手术组）和248例行开腹直肠癌癌根治术患者（开腹手术组）的临床资料。比较两组患者手术并发症发生率，分析腹腔镜下直肠癌手术并发症的影响因素。结果腹腔镜手术组手术并发症发生率（12.0%）和开腹手术组（12.5%）比较，差异无统计学意义（ P﹥0.05）。腹腔镜下直肠癌手术并发症与患者年龄、体重质量指数（BMI）、术前合并症、淋巴结转移程度、手术时间、术者经验等有关（P﹤0.05）；与性别、肿瘤大小、病理类型、浸润深度等无关（P﹥0.05）。结论腹腔镜下直肠癌手术的并发症的发生与多种因素有关，应注意结合相关因素、患者实际情况制定相应的预防和干预措施。
목적：탐토복강경하직장암수술적병발증급기영향인소화예방급처리판법。방법회고성분석2009년6월~2014년6월265례행복강경하직장암근치술（복강경수술조）화248례행개복직장암암근치술환자（개복수술조）적림상자료。비교량조환자수술병발증발생솔，분석복강경하직장암수술병발증적영향인소。결과복강경수술조수술병발증발생솔（12.0%）화개복수술조（12.5%）비교，차이무통계학의의（ P﹥0.05）。복강경하직장암수술병발증여환자년령、체중질량지수（BMI）、술전합병증、림파결전이정도、수술시간、술자경험등유관（P﹤0.05）；여성별、종류대소、병리류형、침윤심도등무관（P﹥0.05）。결론복강경하직장암수술적병발증적발생여다충인소유관，응주의결합상관인소、환자실제정황제정상응적예방화간예조시。
Objective To investigate the surgical complications,influential factors and preven-tions in laparoscopic surgery for rectal cancer. Methods The clinical data of 265 patients with laparo-scopic assisted radical resection( laparoscopic group)and 248 patients with open surgery for rectal cancer ( open group)from June 2009 to June 2014 were retrospectively analyzed. The complication incidence was compared between the two groups,and the influential factors of complications after laparoscopic surgery were analyzed. Results There was no statistical difference between laparoscopic surgery and open opera-tion in the incidence of operative complications(P﹥0. 05). Age,body mass index(BMI),preoperative concomitant diseases,extent of lymph node metastasis,operation time and surgeonˊs experience were asso-ciated with the complications after laparoscopic surgery(P﹤0. 05);sex,tumor size,pathological type and infiltration did not relate to the complications. Conclusion The occurrence of surgical complications in laparoscopic surgery for rectal cancer is associated with multiple factors. It is necessary to pay attention to these factors,and prevention and intervention strategies should be designed according to the individuals.