摘要
目的探讨全腹腔镜下直肠癌根治术的手术方式及其随访疗效。方法选择我院2013年1月—2015年1月收治的直肠癌患者80例作为研究对象。入组对象有完整临床资料,自愿接受研究。采用随机数表法,将其分为两组,每组各40例。对照组患者按照传统根治术治疗,研究组患者按照全腹腔镜下直肠癌根治术治疗,比较两组患者的治疗效果。结果与对照组对比,研究组患者手术时间更长,术中出血量更少,术后肠蠕动恢复时间、肛门排气时间、导管留置时间、住院时间更短,并发症发生率更低,差异均具有统计学意义(P<0.05);两组随访1年,2年时复发率与生存率比较,差异均无统计学意义(P>0.05)。结论相比传统直肠癌根治术而言,全腹腔镜下直肠癌根治术尽管手术时间更长,但可减少术中出血与并发症发生,促进术后更快康复,而且随访期间复发率低,生存率高。
Objective To explore the operation of total laparoscopic radical resection of rectal cancer and its follow-up effect. Methods 80 patients with rectal cancer treated in our hospital from January 2013 to January 2015 were selected as the research objects. The enrolled subjects had complete clinical data and voluntarily accepted the study. Using a random number table method, it can be divided into two groups, 40 cases in each group. Patients in the control group were treated with traditional radical mastectomy. Patients in the study group were treated with laparoscopic radical resection of rectal cancer. The therapeutic effects of the two groups were compared. Results Compared with the control group, The operation time about the patients in the study group was longer, the intraoperative bleeding was less. The postoperative intestinal peristalsis recovery time, anal exhaust time, catheter indwelling time, shorter hospital stay, the complication rate were lower, the differences were statistically significant（P 〈 0.05）; The two groups were followed up for 1 year and 2 years, and there were no statistically significant differences in comparing the recurrence rate and survival rate between two groups（P 〉 0.05）. Conclusion Compared with traditional radical resection of rectal cancer, total laparoscopic radical resection of rectal cancer, although longer operation time, which can reduce intraoperative bleeding and complications, to promote faster recovery after surgery, and follow-up during the recurrence rate is low, high survival rate.
出处
《中国继续医学教育》
2017年第27期66-67,共2页
China Continuing Medical Education
关键词
全腹腔镜
直肠癌根治术
复发率
生存率
total laparoscopy
rectal cancer radical resection
recurrence rate
survival rate
