【摘要】 目的探讨腹腔镜直肠癌切除术在基层医院开展的可行性及近期临床疗效观察。方法以2013年1月至2015年1月南安市医院收诊的47例直肠癌患者为研究对象,其中27例施行腹腔镜直肠癌根治术(A组),20例施行传统开放式直肠癌根治术(B组)。比较两组患者手术时间,术中出血量,淋巴结清扫数目,术后胃肠功能恢复时间,恢复进食时间,住院时间,以及术后并发症等的差异。结果 A组术中出血量、术后胃肠功能恢复时间、住院时间、切口感染率均短(少)于B组,差异有统计学意义(P<0.05),淋巴结清扫数两组差异无统计学意义(P>0.05)。结论腹腔镜下直肠癌根治术创伤小,术后恢复快,安全可行,可在基层医院推广。更多还原

【Abstract】 Objective To investigate the feasibility and recent clinical effect of laparoscopic resection of rectal cancer in primary hospital. Methods Retrospective analysis of 47 patients with rectal cancer in our hospital from January 2013 to January 2015 were randomly divided into two groups( group A for laparoscopic surgery including 27 patients,group B for open surgery including 20 patients) patients,were compared with operation time,intraoperative bleeding volume,lymph node cleaning count,postoperative exhaust time,hospitalization time,postoperative complications. Results Laparoscopy group was less than open surgery group in intraoperative bleeding volume,postoperative gastrointestinal function recovery time,hospitalization time,incision infection( P < 0. 05). Age,gender,type of surgery,tumor stage,pathological types,lymph nodes show no statistical significance between two groups( P > 0. 05). Conclusion Laparoscopic resection of rectal cancer has the advantages of less trauma and quick recovery. It’s safe and feasible,worth popularizing in primary hospitals.更多还原