实用医学杂志2012，Vol.28Issue(9)：1450-1452,3.DOI:10.3969/j.issn.1006-5725.2012.09.021
低位直肠癌腹腔镜与开腹根治术的疗效比较
Comparison between the clinical efficacies of laparoscopic radical resection and open radical resection for 101 patients with low rectal cancer
吴泽宇 1卢晓裕 1杜嘉林 1赵刚 1王志度 1林锋 1彭林1
作者信息
- 1. 510080 广州市,广东省医学科学院,广东省人民医院普外科
- 折叠
摘要
Abstract
Objective To evaluate the clinical efficacies of laparoscopic radical resection and open radical resection for low rectal cancers. Methods Clinical data of 101 patients with low rectal cancers treated by laparoscopic radical resection (n = 52) or open radical resection (n = 49) from June 2006 to December 2008 were analyzed retrospectively. Results Two patients (3.8%) in the laparoscopic surgery group were converted to open surgery. The average intraoperative blood loss in laparoscopic surgery group was significantly less than that in open surgery group [(90 ± 40) mL vs. (270 ± 140) mL, P = 0.023]. There were 24 and 9 patients with the intestinal function restored within 48 hours after surgery in laparoscopic surgery group and open surgery group, respectively (P = 0.003), and were 9 and 27 patients needed analgesic drugs (P = 0.000). The average hospital stay was shorter in laparoscopic surgery group than that in open surgery group [(8.7 ± 5.5)d vs. (12.5± 7.3)d, P = 0.028). No significant difference was found between the two groups in gender, age, lymph node harvest, TNM staging, and postoperative complications (P 〉 0.05). Conclusion As compared with open radical resection, the laparoscopic radical resection for low rectal cancer is associated with less intraoperative blood loss, shorter length of hospital stay, and enhanced recovery.关键词
直肠肿瘤/腹腔镜/根治术Key words
Rectal neoplasms/ Laparoscopy/ Radical correction引用本文复制引用
吴泽宇,卢晓裕,杜嘉林,赵刚,王志度,林锋,彭林..低位直肠癌腹腔镜与开腹根治术的疗效比较[J].实用医学杂志,2012,28(9):1450-1452,3.
