廖陈 唐辉蓉 吴雪松

    [摘要] 目的 比較腹腔镜直肠癌根治术与同期开腹手术的临床疗效。 方法 选择2010年1月至2014年12月我院收治的170例直肠癌患者，85例行腹腔镜直肠癌根治术，85例患者同期行开腹直肠癌根治术，将腹腔镜组及开腹组的临床资料和随访资料进行分析。 结果 腹腔镜组术中失血量为(143.42±37.61)mL、术后肛门排气时间为(58.70±15.63)h、术后住院时间为(9.12±2.71)d，优于开腹组的(225.09±50.23)mL、(76.45±11.89)h、(12.62±3.14)d(P0.05);开腹组住院费用为(3.76±0.32)万元，优于腹腔镜组的(4.53±0.61)万元(P0.05)。Kaplan-Meier分析显示，术后3、5年生存率腹腔镜组分别为62.75%、56.32%，开腹组分别为63.83%、54.55%，两组比较，差异无统计学意义(P>0.05)。 结论 腹腔镜直肠癌根治术具有较好的安全性及可行性，在有腹腔镜手术基础的医院可优先选择。

    [关键词] 直肠癌;腹腔镜;开腹手术;生存率

    [Abstract] Objective To compare the clinical efficacy between laparoscopic radical resection and laparotomy for rectal cancer. Methods A total of 170 patients with rectal cancer treated in our hospital from January 2010 to December 2014 were selected. 85 patients underwent laparoscopic radical resection of rectal cancer and 85 patients underwent laparotomy of rectal cancer at the same time. The clinical data and follow-up data of laparoscopic group and laparotomy group were analyzed. Results The intraoperative blood loss ......