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目的对比分析腹腔镜与开腹直肠癌根治术治疗直肠癌的近期疗效。方法将本院2009年10月-2010年10月就诊的54例直肠癌患者随机分成两组,观察组27例,接受腹腔镜直肠癌根治术;对照组27例,接受开腹直肠癌根治术。结果观察组患者的手术时间显著长于对照组,术后通气时间、住院总时间显著短于对照组,术中出血量显著少于对照组,两组相比差异有统计学意义(P<0.05)。两组患者的淋巴结清除个数相比差异无统计学意义(P>0.05)。观察组患者术后并发症发生率与对照组相比差异无统计学意义(P>0.05)。结论与开腹直肠癌根治术相比,腹腔镜直肠癌根治术的手术效果相近,术后并发症发生率无增高,但后者还具有术中出血量少、术后恢复快等优点,因此该术式治疗直肠癌患者是安全可行的。
Objective To compare and analyze the short-term curative effect of laparoscopic and open rectal cancer radical mastectomy for rectal cancer. Methods 54 patients with rectal cancer treated in our hospital from October 2009 to October 2010 were randomly divided into two groups. The observation group received 27 cases of radical resection of laparoscopic rectal cancer. The control group of 27 cases received open radical resection of rectal cancer . Results The operation time of the observation group was significantly longer than that of the control group. The duration of postoperative ventilation and hospitalization was significantly shorter than that of the control group. The amount of bleeding during operation was significantly less than that of the control group. There was significant difference between the two groups (P <0.05) . There was no significant difference in the number of lymph node clearance between the two groups (P> 0.05). The incidence of postoperative complications in the observation group was not significantly different from that in the control group (P> 0.05). Conclusions Compared with open radical resection of rectal cancer, the operative effect of laparoscopic radical resection of rectal cancer is similar, and the incidence of postoperative complications is not increased. However, the latter has the advantages of less intraoperative blood loss and quick recovery after operation. Therefore, The surgical treatment of rectal cancer patients is safe and feasible.