腹腔镜与开腹手术治疗低位直肠癌临床效果的比较

Comparative study of clinical effects of laparoscopic and laparotomy surgery for low-set colorectal cancer

摘要:

目的 探讨和比较腹腔镜与开腹手术在低位直肠癌患者中的临床应用效果。方法 选择该院收治的低位直肠癌患者88例，随机分为腹腔镜组和开腹组，分别对两组患者的术中、术后指标改善情况以及预后进行比较和分析。结果 与开腹手术组相比，腹腔镜手术组患者切口长度明显缩短，术中出血量明显减少，且手术时间明显缩短（均P <0.05）；腹腔镜手术组患者肛门排气时间、肠道恢复时间、下床活动时间、导尿管留置时间以及术后住院时间均显著缩短（均P <0.05）；腹腔镜手术组并发症发生率、远处转移、局部复发的比率明显降低，患者3年无瘤生率显著提高（均P <0.05）。结论 腹腔镜手术治疗低位直肠癌的临床效果要优于开腹手术，并且可以改善患者预后。

Abstract:

【Objective】 To probe into the clinical effects of laparoscopic and laparotomy for low-set colorectal cancer. 【Methods】88 cases of low-set colorectal cancer patients in our hospital were selected and divided into the laparoscopic group and laparotomy group randomly. The improvement of indicators during and after surgery and postoperative of the patients in two groups were compared and analyzed. 【Results】 Compared with laparotomy group, the patients in laparoscopic group incision length were shortened significantly, the blood loss during surgery was reduced significantly, the operative time was shortened significantly (all P <0.05). Compared with laparotomy group, the patients in laparoscopic group the time of exhaust from flatus, intestinal recovery, ambulation, catheterization, postoperative stay at hospital were shorted significantly (all P <0.05). Compared with laparotomy group, the patients in laparoscopic group the ratio of complication, distant metastasis and local recurrence were decreased significantly, the ratio of three-year disease-free survival was increased significantly (all P <0.05). 【Conclusions】 The clinical effects of laparoscopic surgery were better than laparotomy surgery for patients with low-set colorectal cancer, and it could improve the prognosis of patients effectively.