中国内镜杂志2017，Vol.23Issue(1)：1-5,5.DOI:10.3969/j.issn.1007-1989.2017.01.001
经肛拖出式全腹腔镜直肠癌前切除在直肠癌患者中的临床价值
Clinical value of laparoscopic surgery by pull through technique for anterior resection of rectum in patient with rectal cancer
摘要
Abstract
Objective To compare the clinical values of laparoscopic surgery and laparoscopic surgery by pull through technique for anterior of rectum in patients with rectal cancer. Methods From Jan, 2013 to Jan, 2014, 120 patients with low rectal cancer were prospectively collected. The patients were randomly divided into study group (n= 60) and control group (n= 60). Patients in the study group were treated with laparoscopic surgery by pull through technique for anterior resection of rectum, while patients in the control group were treated with laparoscopic surgery. The primary outcomes were intraoperative situations, postoperative complications and recovery. Results When compared with the control group, patients in the study group got a significantly shorter operative duration [(132.32±14.92) vs (154.73±17.65) min, P=0.000];a signiifcantly lower postoperative drainage volume [(299.93±56.49) vs (365.24±68.94) ml, P= 0.000]; a significantly shorter gastrointestinal function recovery time [(57.42±5.84) vs (61.85±7.40) h, P=0.002]; and a signiifcantly less of length of hospital stay [(12.54±2.76) vs (14.75±2.10) d, P= 0.000]. There was no significant difference between the two groups in the amount of bleeding, the number of lymph node dissection, pneumonia, lower extremity arteriovenous thrombosis, incision infection, anastomotic leakage, intestinal obstruction, 2-year recurrence rate and mortality rate (P> 0.05). Conclusion laparoscopic surgery by pull through technique for anterior resection of rectum can accelerate postoperative recovery.关键词
直肠癌/经肛拖出式全腹腔镜直肠癌前切除术/腹腔镜手术Key words
colorectal cancer/laparoscopic surgery by pull through technique for anterior resection/laparoscopic surgery分类
医药卫生引用本文复制引用
林恒军,邱学科,袁航..经肛拖出式全腹腔镜直肠癌前切除在直肠癌患者中的临床价值[J].中国内镜杂志,2017,23(1):1-5,5.基金项目
2014年浙江省医药卫生一般研究计划项目 （）
