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目的比较腹腔镜和开腹手术治疗局部复发直肠癌的手术疗效。方法回顾性分析由同一手术组医师施行的38例腹腔镜与70例开腹切除术治疗局部再发直肠癌患者的临床资料,并进行比较。结果腹腔镜组和开腹手术组患者术前在年龄、性别、肿瘤分期方面差异均无统计学意义(均P>0.05)。腹腔镜组的术中出血量、术后止痛剂用量、切口感染数明显少于开腹组(均P<0.05)。腹腔镜组与开腹手术组并发症发生率分别为23.7%和32.9%,差异有统计学意义(P<0.05)。结论腹腔镜手术治疗局部复发性直肠癌安全有效,与开腹手术相比创伤更小,恢复快,值得临床推广应用。
Objective To compare laparoscopic and open surgery for the treatment of locally recurrent rectal cancer. Methods The clinical data of 38 patients with locally recurrent rectal cancer undergoing laparoscopic resection and 70 undergoing open resection by the same surgical team were retrospectively analyzed and compared. Results There were no significant differences in age, sex and tumor stage between the laparoscopic group and the open surgery group (all P> 0.05). Laparoscopic group intraoperative blood loss, postoperative analgesic dosage, incision infection was significantly less than the open group (P <0.05). The incidence of complications in laparoscopic group and open surgery group were 23.7% and 32.9%, respectively, with significant difference (P <0.05). Conclusions Laparoscopic surgery is safe and effective in the treatment of locally recurrent rectal cancer. Compared with laparotomy, laparoscopic surgery is less invasive and faster in recovery. It is worthy of clinical application.