中国现代手术学杂志2017，Vol.21Issue(2)：81-84,4.DOI:10.16260/j.cnki.1009-2188.2017.02.001
腹腔镜与开腹低位直肠癌保肛手术临床疗效比较
Comparison of the Clinical Effects of Laparoscopic and Open Anus Preserving Surgery for Low Rectal Cancer
江晓华 1郑子晗 1周鹏 1周秩武 1万宇飞 1张天顺 1张伟1
作者信息
- 1. 江西省人民医院胃肠外科,南昌330006
- 折叠
摘要
Abstract
Objective To evaluate the application value of laparoscopic anus preserving surgery for low rectal cancer patients.Methods Eighty-five patients with low rectal cancers were studied respectively.There were forty-five patients in laparoscopic operation group treated with laparoscopic anus preserving operation,and forty patients in open operation group.Operation time,intra-operative hemorrhage,length of operative incision,resuming time of bowel function,postoperative drainage time and volume,complications such as anastomotic fistula and incision infection were compared between the two groups.Results In the laparoscopic operation group and the open operation group,it showed significant differences in operation time of (169 ± 40)min vs.(120 ± 50) min,the hemorrhage volume of(56 ± 23) ml vs.(248 ± 92) ml (P ＜ 0.05),the length of operative incision of(4.0 ± 1.3) cm vs.(15.0 ± 3.2) cm(P ＜ 0.05),the resuming time of bowel functionof (37 ± 11) h vs.(73 ± 12)h (P ＜0.05),the postoperative drainage volume of(31 ± 15) ml vs.(385 ±65)ml (P ＜0.05),the rate of anastomotic leakage of 2.2％ vs.10％ (P ＜0.05),and the rate of incision infection of 0 vs.10％ (P ＜ 0.05).Conclusion It demonstrates advantages of less surgical trauma,less intra-operative bleeding,quicker postoperative recovery and few postoperative complications of laparoscopic anus preserving surgery for low rectal cancer.It is feasible,safe and worthy of clinical popularization and application.关键词
低直肠肿瘤/腹腔镜检查/开腹术/保肛手术Key words
rectal neoplasms/laparoscopy/laparotomy/anus preserving operation分类
医药卫生引用本文复制引用
江晓华,郑子晗,周鹏,周秩武,万宇飞,张天顺,张伟..腹腔镜与开腹低位直肠癌保肛手术临床疗效比较[J].中国现代手术学杂志,2017,21(2):81-84,4.
