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首页> 外文期刊>Journal of Cancer Research and Treatment >Clinical Application of Laparoscopy in Radical Operation of Rectal Cancer
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Clinical Application of Laparoscopy in Radical Operation of Rectal Cancer

机译：腹腔镜在直肠癌根治术中的临床应用

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Objective: Analyze the clinical value of laparoscopic used in the colorectal cancer surgery. Methods: A total number of 371 clinical cases, from January 2012 to October 2014 in our hospital, were analyzed which covered 198 patients underwent the laparoscopy in radical resection and 173 cases in open radical resection. A retrospective analysis was proceeded by comparing the general information, surgery performance, pathologic data, postoperative recovery and complicetions as well as long-term survival to investigate the diversity of immediate and long-term clinical outcomes of laparoscopic radical operation. Results: All patients have successfully completed the surgery, which includes 198 cases of laparoscopic rectal resection, 173 cases in open radical resection. There were no statistically significance differences between gender, age, height, BMI, staging and associated with other diseases in two groups. The operative time of rectal resection under the Laparoscopic was shorter than open radical resection (120±30minvs 105±39min), with no statistical significance(P＞0.05).In the laparoscopy surgery, the amount of bleeding is less than open surgery (50±20ml VS 200±25ml), and the difference was statistically significant. In the laparoscopy surgery, the length of incision is shorter than open surgery (5.1±0.23cm VS 13.5±1.34cm), and the difference was statistically significant. The hospitalization length in laparoscopy surgery and open surgery was significant difference (P＜0.01). Conclusion: In contrast to open surgery group, the laparoscopy surgery group expericenced less bleeding, shorter incisionand hospitalization length. The incident rate of perioperation complications in laparoscopy surgery and open surgery groups were not significant different. The colorectal cancer resection with laparoscopic has less trauma and can recover quickly, so it can achieve the same radical effect just like laparotomy and worth to be promoted in the Clinical application.
机译：目的：分析腹腔镜在结直肠癌手术中的临床价值。方法：对我院2012年1月至2014年10月的371例临床病例进行分析，其中包括198例行腹腔镜手术的患者和173例行根治性手术的患者。通过比较一般信息，手术表现，病理数据，术后恢复情况和并发症以及长期生存率进行回顾性分析，以研究腹腔镜根治性手术近期和长期临床结果的多样性。结果：所有患者均成功完成手术，其中腹腔镜直肠切除术198例，根治性根治性切除术173例。两组之间的性别，年龄，身高，BMI，分期以及与其他疾病的相关性均无统计学意义。腹腔镜下直肠切除术的手术时间短于开放式根治术（120±30minvs 105±39min），无统计学意义（P＞ 0.05）。腹腔镜手术的出血量少于开放式手术（50）。 ±20ml VS 200±25ml），差异具有统计学意义。腹腔镜手术的切口长度比开放手术短（5.1±0.23cm VS 13.5±1.34cm），差异有统计学意义。腹腔镜手术与开放手术的住院时间差异有统计学意义（P ＜0.01）。结论：与开放手术组相比，腹腔镜手术组出血少，切口短，住院时间短。腹腔镜手术组和开放手术组围手术期并发症的发生率无显着差异。腹腔镜大肠癌切除术创伤小，恢复快，可以达到与剖腹手术相同的根治效果，值得临床推广。

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