摘要
目的探讨腹腔镜治疗低位直肠癌的临床应用价值。方法分析71例低位直肠癌患者的临床资料,据手术方式不同分组:腹腔镜手术治疗33例(腔镜组),开腹手术治疗38例(开腹组)。结果两组术前资料有可比性(P>0.05),切口长度、术中出血量、进食时间、术后住院天数、止痛药使用及切除淋巴结的总数比较,差异均有统计学意义(P<0.05),腔镜组优于开腹组;保肛率、手术时间、总并发症、肿块下缘距切缘距离及1,3,5年生存率和无瘤生存率两组间差异无统计学意义(P>0.05)。结论腔镜治疗低位直肠癌的近期疗较优于开腹组,远期疗效两种手术方式相当。
Objective To evaluate the value of laparoscopic resection for low rectal cancer.Methods The clinical data of 71 cases of low rectal cancer treated from February 2002 to February 2007 were analyzed.The patients were divided into two groups according to different surgical procedure.There were 33 cases in laparoscopic resection group,and 38 cases in open procedure group.Results The clinical characteristics of the two groups before operation were comparable（P0.05）.Laparoscopic resection was superior to open surgery in the following parameters： length of incision,surgical bleeding volume,time for oral intake,duration of hospital stay,analgesic requirements,and number of dissected lymph nodes（P0.05）.No significant differences were noted between the two groups in rate of anal sphincter preservation,operative time,overall complications,distance of resected tumor distal margin above anal verge,1-year,3-year,5-year survival rate,and disease-free survival（P0.05）.Conclusions Compared to open surgery,the laparoscopic procedure for low rectal cancer has better efficacy in short-term and is similar in long-term outcome.
出处
《中国普通外科杂志》
CAS
CSCD
北大核心
2011年第4期356-359,共4页
China Journal of General Surgery
