直肠癌根治术在腹腔镜与开腹预后情况的比较(1)
【摘要】 目的：探析直肠癌根治术在腹腔镜与开腹预后情况的比较。方法：选取本院2012年8月-2013年5月直肠癌患者100例，按治疗方式的不同分为观察组与对照组，每组各50例。观察组进行腹腔镜切除术，对照组经传统开腹手术疗法，比较手术的临床各项参数指标、术后复发情况、术后并发症情况及存活率。结果：观察组的术中出血量、切口大小、肠功能恢复时间、住院时间等各项临床参数指标显著优于对照组，差异有统计学意义(P<0.05)；观察组、对照组的术后复发及转移情况差异无统计学意义(P>0.05)；观察组、对照组的术后并发症发生率分别为6%、16%，观察组明显好于对照组，差异有统计学意义(P<0.05)；两组患者的术后1、3、5年生存率差异无统计学意义(P>0.05)。结论：直肠癌进行腹腔镜及开腹直肠癌根治术远期生存率及复发情况无显著差异，但腹腔镜直肠癌根治术具有迅速恢复病情、高度微创等特点，可靠安全，可作为手术治疗直肠癌的首选方案，值得临床推广。
【关键词】 直肠癌根治术； 传统开腹； 腹腔镜
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Comparing Prognosis Situation of Radical Resection of Laparoscopic Rectal Cancer and Open Radical Operation/XU Li-wei.//Medical Innovation of China，2015，12(08)：028-031
【Abstract】 Objective：To compare the prognosis situation of radical resection of laparoscopic rectal cancer and open radical operation. Method：100 cases of cancer patients were selected in our hospital from August 2012 to May 2013.According to the different treatment methods， they were divided into the observation group and control group，50 cases in each group. The observation group was performed laparoscopic resection， the control group with traditional open operation treatment， clinical parameters， resection of the recurrence after operation， postoperative complications and survival rate were compared.Result： In the observation group， the amount of bleeding during the operation， incision size， intestinal function recovery time， hospitalization time and other clinical parameters were significantly better than the control group， the differences were statistically significant(P<0.05)；compared the recurrence and metastasis in observation group and control group after operation ，the differences were not statistical significance(P>0.05)； the postoperative complication rates between observation group and control group were respectively 6% and 16%， the observation group was significantly better than the control group， the difference was statistically significant(P<0.05)；the survival rate of 1，3，5 years between the observation group and the control group， had no statistically significant difference(P>0.05).Conclusion： Survival rate and recurrence rate of rectal cancer by laparoscopic and open radical resection of rectal cancer are not significant difference，but the laparoscopic radical resection of rectal cancer with rapid recovery of disease， height of minimally invasive and reliable safety， the preferred solution can be used as the surgical treatment of rectal cancer， it is worth the clinical promotion.
【Key words】 Radical resection of rectal carcinoma； Traditional open surgery； Laparoscopic, 百拇医药(徐立伟)
【关键词】 直肠癌根治术； 传统开腹； 腹腔镜
, http://www.100md.com
Comparing Prognosis Situation of Radical Resection of Laparoscopic Rectal Cancer and Open Radical Operation/XU Li-wei.//Medical Innovation of China，2015，12(08)：028-031
【Abstract】 Objective：To compare the prognosis situation of radical resection of laparoscopic rectal cancer and open radical operation. Method：100 cases of cancer patients were selected in our hospital from August 2012 to May 2013.According to the different treatment methods， they were divided into the observation group and control group，50 cases in each group. The observation group was performed laparoscopic resection， the control group with traditional open operation treatment， clinical parameters， resection of the recurrence after operation， postoperative complications and survival rate were compared.Result： In the observation group， the amount of bleeding during the operation， incision size， intestinal function recovery time， hospitalization time and other clinical parameters were significantly better than the control group， the differences were statistically significant(P<0.05)；compared the recurrence and metastasis in observation group and control group after operation ，the differences were not statistical significance(P>0.05)； the postoperative complication rates between observation group and control group were respectively 6% and 16%， the observation group was significantly better than the control group， the difference was statistically significant(P<0.05)；the survival rate of 1，3，5 years between the observation group and the control group， had no statistically significant difference(P>0.05).Conclusion： Survival rate and recurrence rate of rectal cancer by laparoscopic and open radical resection of rectal cancer are not significant difference，but the laparoscopic radical resection of rectal cancer with rapid recovery of disease， height of minimally invasive and reliable safety， the preferred solution can be used as the surgical treatment of rectal cancer， it is worth the clinical promotion.
【Key words】 Radical resection of rectal carcinoma； Traditional open surgery； Laparoscopic, 百拇医药(徐立伟)