摘要
目的比较应用腹腔镜微创技术与常规开放性手术施行全直肠系膜切除术在低位直肠癌治疗效果方面的差异。方法将39例低位直肠癌分为腹腔镜组（17例）和开放组（22例），比较两组在手术切除的彻底性、功能性神经保护、近期并发症等方面的差异。结果腹腔镜组保肛率为100％，术中出血量为60～250mL，术后恢复胃肠功能并下床活动时间平均为30h，住院时间平均10d，患者术后均未应用止痛剂，无因术后并发症而死亡的病例，各方面治疗效果均优于常规开腹手术组。结论用腹腔镜方法行低位直肠癌保肛根治术不仅可达到开腹根治术的目的，而且具有操作安全、微创、恢复快、保肛率高的优点。但其远期疗效还有待于大宗病例的进一步观察。
Objective To compare the therapeutic efficacy difference of whole mesorectum resection between laparoscopic surgery and conventional open operation in low rectal cancer. Methods Thirty nine patients with low rectal cancer were assigned to laparoscopic surgery group （LSG） （ n = 17） and conventional open operation group （COG） （ n = 22）. To compare the difference of surgical thoroughness, functional nerve protection, complications in near future between the two groups. Results The effects of laparoscopic surgery group was better than those of conventional open operation group in anal sphincter preservation, operative blood loss, the recovery time of stomach and intestine function, and hospital stay time. No anodyne application. No case died from complication. Conclusion Laparoscopic radical resection with anal sphincter preservation in low rectal cancer not only can achieve the purpose of radical resection, but also have the advantages of safety, minimal invasion, and rapid recovery.
出处
《肿瘤基础与临床》
2008年第6期506-508,共3页
journal of basic and clinical oncology
