岭南现代临床外科Issue(6)：639-641,3.DOI:10.3969/j.issn.1009-976X.2014.06.007
腹腔镜和开腹 Dixon 手术根治直肠癌的短期疗效对比
Coparison of short-term effects between laparoscope and open Dixon radical resection for rectal cancer
罗育青 1林晓松 1林贵海 1袁阳春 1林嘉瑜1
作者信息
- 1. 522091 广东揭阳 揭阳市人民医院普通外科二区
- 折叠
摘要
Abstract
Objective To compare the short-term effects of laparoscopic versus open Dixon radical resection for rectal cancer. Methods Eighty-four patients with rectal cancer were nonrandomly divided into two groups, the laparoscopic group (n=44) were treated with laparoscopic Dixon radical resection and the open group(n=40) with open Dixon raidcal resection. Short-term effects, including number of resected lymph nodes, distal resection margin, operative time, blood loss, postoperative anal exhaust time, length of stay, hospitalization expenses, and incidence of complications, were observed and compared between the two groups. Results The number of resected lymph nodes (12.91±3.58 vs 14.33±3.38) and distal resection margins (3.15±0.61 cm vs 3.28±0.74 cm) showed significanly differeces between the two groups (both P>0.05). Laparoscopic group was associated with significantly longer operative time (191.75±23.06 min vs 154.80±12.99 min), less blood loss (132.63± 35.73 mL vs 181.02±75.79 mL), shorter postoperative anal exhaust time (2.93±1.33 d vs 4.70±1.39 d) and length of stay (11.38±2.00 d vs 16.82±1.85 d), and higher hospitalization expenses (36.9±3.0 thousand vs 30.3 ±3.7 thousand) (all P<0.05). Incidence of complications was found no difference between the two groups(9.1% vs 17.5%,P>0.05). Conclusion Laparoscopic Dixon radical resection is superior to open Dixon radical resection in the management of rectal cancer in terms of improving short-term efficacy.关键词
直肠癌/腹腔镜/Dixon术/疗效Key words
Rectal cancer/Laparoscopy/Dixon approach/Efficacy分类
医药卫生引用本文复制引用
罗育青,林晓松,林贵海,袁阳春,林嘉瑜..腹腔镜和开腹 Dixon 手术根治直肠癌的短期疗效对比[J].岭南现代临床外科,2014,(6):639-641,3.
