腹腔镜直肠癌全直肠系膜切除术与开腹根治术的临床分析.docVIP

精品论文 参考文献 腹腔镜直肠癌全直肠系膜切除术与开腹根治术的临床分析 冯桂红 　　（四川省富顺县人民医院 四川 自贡 643200） 　　【摘要】 目的：分析腹腔镜直肠癌全直肠系膜切除术与开腹根治术的临床治疗效果。方法：以2013年1月～2015年1月本院收治的60例直肠癌患者为研究对象，将其随机分为观察组（腹腔镜全直肠系膜切除术）和对照组（开腹根治术），对比分析两组患者手术时间、术中出血量、住院时间、肛门排气时间、淋巴结清除数目、并发症发生率。结果：观察组术中出血量明显少于对照组（Plt;0.05）；住院时间、肛门排气时间均短于对照组（Plt;0.05）；术后并发症发生率低于对照组（Plt;0.05）；但两组患者手术时间、淋巴结清除数目无显著性差异（Pgt;0.05）。结论：腹腔镜直肠癌全直肠系膜切除术创伤小，恢复快，并发症发生率低，值得推广应用。 　　【关键词】 直肠癌；腹腔镜全直肠系膜切除术；开腹根治术 　　【中图分类号】R735.3 【文献标识码】A 【文章编号】2095-1752（2016）03-0037-02 　　Clinical analysis of laparoscopic total mesorectal excision and open radical operation Feng Guigong. 　　 FuShun County Sichuan Province Peoples Hospital,Sichuan Zigong 643200 ,China 　　 【Abstract】Objective To analyze the clinical curative effect of laparoscopic total mesorectal excision and open radical operation. Methods In 60 cases of rectal cancer patients in our hospital from January 2013 to January 2015 as the object of study, which were randomly divided into observation group (laparoscopic total mesorectal excision) and control group (open radical prostatectomy), comparative analysis the operative time, blood loss, hospitalization time, anal exhaust time, lymph node clearance number and the incidence of complications. Results The amount of bleeding in the observation group was significantly less than that of the control group (Plt;0.05); the length of hospital stay, the time of anus exhaust was shorter than that of the control group (Plt;0.05); the postoperative complication rate was lower than that of the control group (Plt;0.05); however, there was no significant difference between the two groups in operation time and the number of lymph nodes (Pgt;0.05). Conclusion Laparoscopic rectal total mesorectal excision operation wound is small, fast recovery, low incidence of complications, it is worth popularization and application. 　　【Key words】Laparoscopic rectal cancer;Total mesorectal excision; Radical open surgery 　　作为临床上一种常见的恶性肿瘤，直肠癌有着较高的发病率，甚至居消化道肿瘤首位