期刊文献+

腹腔镜与开腹直肠癌根治术临床对比研究

Radical resection of rectal carcinoma by laparoscopic versus conventional laparotomy
原文传递
导出
摘要 目的探讨应用腹腔镜技术行直肠癌根治术的可行性及临床疗效。方法对2004年1月至2007年12月行腹腔镜直肠癌根治术28例患者(腹腔镜组)及同期行开腹直肠癌根治术26例患者(开腹组)在手术相关指标、术后恢复指标、根治性指标、住院时间、术后并发症等方面进行比较。结果腹腔镜组术中出血量明显少于开腹组[(148.0±26.5)ml比(396.0±79.6)ml,P〈0.01];术后进食时间和留置导尿管时间明显早于开腹组[(2.8±0.1)d比(3.9±0.3)d,(4.2±0.2)d比(6.0±0.8)d,P〈0.05];住院时间明显短于开腹组[(9.8±1.1)d比(13.2±2.8)d,P〈0.01]。腹腔镜组与开腹组的手术时间、清除淋巴结数量、术后并发症、局部复发、远处转移方面差异均无统计学意义(P〉0.05)。结论应用腹腔镜技术行直肠癌根治术安全可行,能达到与开腹手术相同的效果,并且具有创伤小、失血量少、恢复快等优点。 Objective To study the feasibility and curative effect of laparoscopic radical resection of rectal carcinoma. Methods Twenty-eight cases undergoing laparoscopic radical resection (laparoscopic group) and 26 cases undergoing open radical resection (open group) were enrolled from January 2004 to December 2007. The following parameters: operation-related situations, postoperative recovery,result of radical resection, and postoperative outcome were compared between the two groups. Results The blood loss during operation in laparoscopic group was less than that in open group [ ( 148.0 ± 26.5 ) ml vs (396.0 ± 79.6) ml, P 〈 0.01 ]. The gastrointestinal tract and urination function in laparoscopic group recovered faster than those in open group [ the time of diet in taking was (2.8 ±0.1 ) d vs (3.9 ± 0.3 ) d, the time of detaining urethral catheter was(4.2 ± 0.2) d vs (6.0 ± 0.8) d] (P〈 0.05). The hospital stay was shorter in laparoscopic group than that in open group [(9.8 ± 1.1 ) d vs( 13.2 ± 2.8) d, P〈 0.01 ]. The operation time, the number of cleared lymph nodes and complications of laparoscopic between the two groups were no significant difference (P 〉 0.05). There was no significant difference in local recurrent and beyond metastases rates between the two groups. Conclusion Laparoscopic radical resection of rectal carcinoma parallels with open surgery is in safety and effectiveness, it has less traumatic and blood loss and faster in patients recovery.
出处 《中国医师进修杂志(外科版)》 2009年第5期9-12,共4页 Chinese Journal of Postgraduates of Medicine
基金 河南省科技攻关计划(082102310120)
关键词 腹腔镜 直肠肿瘤 外科手术 根治性 Laparoscopes Rectal neoplasms Surgical procedures, radical
  • 相关文献

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部