目的：评估腹腔镜柱状A PR 与传统开腹A PR 的疗效．方法回顾分析昆明医科大学第一附属医院肿瘤科2010年1月至2015年9月共计111例低位直肠癌行A PR 手术的患者，分为腹腔镜柱状A PR 组和传统开腹A PR 组，比较2组患者的手术时间、术中出血量、术后通气时间以及术后并发症发生情况．结果2组相比，手术时间、术中出血量、术后通气时间、术后肠梗阻、肺部感染等方面差异无统计学意义（ P＞0.05）；在会阴部切口感染及术中肠道穿孔率方面，差异有统计学意义（ P＜0.05）．结论腹腔镜柱状A PR 手术较传统开腹A PR手术安全可靠，能有效减少患者术后切口感染及减少肿瘤肠道穿孔的发生.%Objective To evaluate the efficacy between cylindrical abdominoperineal resection(CAPR)by laparoscopy and traditional abdominoperineal resection(APR). Methods A retrospectively analysis was done in the data of patients with low rectal cancer who underwent APR in our department from January 2010 to September 2015. The patients were divided into two groups,including cylindrical abdominoperineal resection by laparoscopy and traditional abdominoperineal resection. The operation time,intraoperative bleeding,the time of intestinal exhaust as well as the postoperative complications of the two groups were compared. Results There were no statistical differences in the intraoperative bleeding,operation time,the time of intestinal exhaust,postoperative intestinal obstruction and pulmonary infection between the two groups(P > 0.05). However,the differences in the rates of perineal incision infection and tumor intestinal perforation between the two groups were statistically significant (P < 0.05). Conclusion CAPR by laparoscopy is safer,more reliable than traditional APR,which can effectively reduce the rates of postoperative incision infection and tumor intestinal perforation of patients.
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机译：Reestructuración productiva e integración: TLCAN 20 a?os después↓Restructuration productive et intégration: TLCAN 20 ans après↓Restrutura??o produtiva e integra??o: TLCAN 20 anos depois↓生产重组和一体化: 北美自由贸易协定20年之后
机译：La Reforma Energética: a 20 a?os del TLCAN↓La Réforme énergétique: 20 ans après le TLCAN↓A Reforma Energética: dos 20 anos do TLCAN↓能源改革: 北美自由贸易协定二十年之后
机译：La "Gran Transformación" del Milagro Mexicano. A 20 a?os del TLCAN: de la adopción a la adaptación↓La "Grande Transformation" du Miracle mexicaino. 20 ans après le TLCAN: de l'adoption à l'adaptation↓A "Grande Transforma??o" do milagre Mexicano. Dos 20 anos do TLCAN: da ado??o à adapta??o↓北美自由贸易协定二十年之后墨西哥奇迹大转型: 从实施到适应
