| 金晶,周一农,沈红波,姜明,郑杰.腹腔镜辅助与开腹低位直肠癌保肛术疗效的对比分析[J].中国临床保健杂志,2018,21(6):798-801. |
| 腹腔镜辅助与开腹低位直肠癌保肛术疗效的对比分析 |
| Comparative analysis of laparoscopic assisted anus preserving surgery and open rectal surgery for lower rectal cancer |
| 投稿时间：2018-06-25 |
| DOI：10.3969/J.issn.1672-6790.2018.06.019 |
| 中文关键词: 直肠肿瘤 腹腔镜检查 治疗结果 |
| 英文关键词: Rectal neoplasms Laparoscopy Treatment outcome 〖FL |
| 基金项目:浙江衢州市科技局课题(20172051) |
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| 中文摘要: |
| 目的 探讨腹腔镜辅助低位直肠癌保肛术的可行性、安全性及临床疗效。方法 收集80例低位直肠癌患者病历资料,根据所行术式,分为观察组和对照组。观察组40例,行腹腔镜辅助保肛术；对照组40例,行开腹保肛术。对比分析两种术式治疗患者的术中出血量、淋巴结清扫数目、手术时间、术后肛门排气时间、术后住院时间、术后并发症发生率及术后生活质量。结果 与对照组相比,观察组患者的手术时间(138.9±37.2)min、术后住院时间(5.3±1.1)d及肛门排气时间(1.9±0.7)d均明显缩短,出血量(57.1±20.2)mL明显减少,术中淋巴结清扫数目(13.4±0.8)个明显增多(P<0.05)；观察组患者术后并发症发生率(5%)明显低于对照组(27.5%),其中观察组患者切口感染发生率(2.5%)明显减低,而两组患者在排便频率、排便紧迫感、排便困难及肛门功能满意度方面差异均无统计学意义(P>0.05)。结论 与开腹低位直肠癌保肛术相比,腹腔镜辅助保肛术具有手术时间短、术后恢复快、出血少及安全性高的优势。 |
| 英文摘要: |
| Objective To investigate feasibility,safety and clinical efficacy of laparoscopic assisted anal sphincter preservation for low rectal cancer.Methods A total of 80 patients with low rectal cancer were collected.According to the operation type,the cases were divided into observation group and control group.The observation group (40 cases) underwent laparoscopic assisted sphincter preserving surgery.The control group (40 cases) underwent sphincter preserving surgery.The intraoperative blood loss,number of lymph node dissection,operation time,postoperative anal exhaust time,postoperative hospital stay,postoperative complication rate and postoperative quality of life were analyzed and compared between the two groups.Results Compared with the control group,the observation group′s operation time (138.9±37.2)min,postoperative hospitalization time (5.3±1.1)d and anal exhaust time (1.9±0.7)d were significantly shorter,bleeding (57.1±20.2)mL significantly less,the number of lymph node dissection during operation (13.4±0.8) a more obvious (P<0.05).The incidence of postoperative complications (5%) in the observation group was significantly lower than that of the control group (27.5%),the incidence of wound infection (2.5%) in the observation group was significantly lower,while the two groups were no statistical significant in the frequency of defecation,defecation urgency,difficult defecation and anal function satisfaction degree (P>0.05).Conclusion Compared with open rectal surgery for low rectal cancer,laparoscopic assisted anal sphincter preservation has the advantages of shorter operation time,quicker postoperative recovery,less bleeding and higher safety. |
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