【摘要】 目的评估腹腔镜直肠癌手术的可行性及肿瘤远期疗效。方法将腹腔镜直肠癌手术32例设为观察组,开腹手术68例设为对照组,比较2组患者的手术时间、手术出血量、淋巴结数目、肛门排气时间、术后住院时间、术后并发症、术后局部复发、远处转移、无瘤生存率及总生存率,对上述临床资料进行回顾性分析。结果腹腔镜组和开腹手术组在出血量、肛门排气时间、术后住院时间方面,前者优于后者(P<0.05);2组手术时间,淋巴结数目及术后并发症发生率差异无统计学意义,术后3年局部复发率、远处转移、无瘤生存率及总生存率,2组之间的差异无统计学意义(P>0.05)。结论腹腔镜直肠癌的治疗技术是可行的,而且术后恢复快,与开腹手术的远期疗效差异无统计学意义。更多还原

【Abstract】 Objective To evaluate the feasibility of laparoscopic colorectal cancer surgery and its long-term outcome. Methods There were 32 patients with colorectal cancer received the laparoscopic surgery in the observation group, and 68 colorectal cancer patients received laparotomy in the control group. The operation time, blood loss, number of lymph nodes, flatus time, postoperative hospital stay, postoperative complications, local recurrence, distant metastasis,cancer-free survival, and overall survival were compared between the two groups. Results The amount of bleeding, anal exhaust time and postoperative hospital stay in the laparoscopic group were superior to those in the control group.( all P < 0.05); There were no significant differences between the two groups in all the other items(all P >0.05). Conclusion The laparoscopic colorectal cancer surgery is technically feasible and the postoperative recovery of the patients is rapid, while there is no significant difference in long-term outcome compared with the open surgery.更多还原