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目的探讨传统开腹手术与腹腔镜下直肠癌根治术的短期疗效及安全性。方法选取接受治疗的直肠癌患者112例作为研究对象,采用随机数字表法分为腹腔镜组与开腹组,对比两组患者围术期的情况、短期疗效及并发症的发生情况。结果与开腹组相比,腹腔镜组切口长度、术后排气时间、下床活动时间及住院时间均显著缩短,术中出血量也显著减少,手术时间显著延长,差异有统计学意义(P<0.05);两组患者在术后结肠与直肠的切除长度、肿瘤直径、肿瘤与下切缘的距离及淋巴结清扫数目对比差异未见统计学意义(P>0.05);腹腔镜组为7.14%,开腹组并发症发生率为37.50%,差异有统计学意义(P<0.05)。结论腹腔镜下直肠癌根治术术中出血量少、手术时间短、术后恢复时间短,肿瘤根治情况与开腹术无显著差别,但总体短期疗效优于开腹术,值得临床推广应用。
Objective To investigate the short-term curative effect and safety of laparoscopic radical mastectomy and laparoscopic radical surgery. Methods One hundred and twelve patients with rectal cancer undergoing therapy were selected as study objects. The patients were divided into laparoscopic group and laparotomy group by random number table. The situation, short-term effect and complication of the two groups were compared. Results Compared with the open group, the incision length, postoperative exhaust time, ambulation time and hospitalization time of the laparoscopic group were significantly shortened, the intraoperative blood loss was significantly reduced, the operation time was significantly longer, the difference was statistically significant ( P <0.05). There was no significant difference between the two groups in the length of colorectal resection, the diameter of tumor, the distance between tumor and lower margin and the number of lymph node dissection (P> 0.05) , The incidence of complications in open group was 37.50%, the difference was statistically significant (P <0.05). Conclusions Laparoscopic radical resection of rectal cancer has less bleeding, shorter operation time, shorter postoperative recovery time and no significant difference between radical operation and radical operation. However, the overall short-term efficacy is superior to open operation, which is worthy of clinical application.