摘要
目的对比分析手助腹腔镜与开腹结直肠切除术的临床效果,评价手助腹腔镜手术在结直肠肿瘤手术治疗中的应用价值。方法将收治的80例患者分为手助腹腔镜手术(35例)和开腹手术(45例)两组,分析两组的临床效果。结果 HALS组有5例中转开腹。两组在手术时间、术后并发症发生率、术后复发率的差异无统计学意义(P>0.05)。两组在术中出血量、肠道功能恢复时间及术后住院时间的差异有统计学意义(P<0.05)。结论手助腹腔镜直肠癌根治术具有安全性高、手术时间短、创伤小、出血少、术后恢复快等优点,为腹腔镜手术的发展提供了新的方向,值得外科医师学习应用。
Objeetive Comparison the clinical effect of hand-assisted laparoscopy and open colorectal resection.To evaluate the value of hand-assisted laparoscopic surgery in colorectal cancer surgery. Methods The 80 patients with rectal carcinoma were divided into hand-assisted laparoscopic surgery（35 cases） and open（45 cases） groups. Analysis the clinical effect of two groups. Results HALS group has 5 cases were converted to open. The two groups in the operation time, the rate of post-operative complication and postoperative recurrence rate has no statistical significance（P〉0,05）.Two groups in peg-operative bleeding, return of bowel function and hospital post-operative stay has statistical significance（P〈0.05）. Conclusion Hand-assisted laparoscopic radical resection of rectal carcinoma has the advantage of high safety, Short operation time, slight invasion, less bleeding and rapid post -operative recovery, etc. For laparoscopic surgery development provides new direction.
出处
《中国医药指南》
2013年第18期61-62,共2页
Guide of China Medicine
关键词
手助腹腔镜
结直肠切除术
Hand-assisted laparoscopic surgery
Colorectal resection
