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目的对比腹腔镜与开腹全直肠系膜切除术(TME)治疗直肠癌的效果。方法选取我院2010年12月—2013年12月收治的直肠癌患者30例,随机分为观察组和对照组,每组15例。对照组患者采用开腹TME,观察组患者采用腹腔镜TME,对比两组患者手术时间、住院时间、术后肠道功能恢复时间、术中出血量及术后并发症发生情况。结果观察组患者手术时间、住院时间、术后肠道功能恢复时间均短于对照组,术中出血量少于对照组(P<0.05);观察组患者术后并发症发生率为13.3%,低于对照组的40.0%(P<0.05)。结论腹腔镜TME治疗直肠癌的效果优于开腹TME,其能有效缩短患者手术时间、住院时间及术后肠道功能恢复时间,减少术中出血量,降低术后并发症发生率。
Objective To compare the efficacy of laparoscopic and open mesorectal excision (TME) in the treatment of rectal cancer. Methods Thirty patients with rectal cancer admitted from December 2010 to December 2013 in our hospital were randomly divided into observation group and control group, 15 cases in each group. The patients in the control group were treated with open TME. The patients in the observation group were treated with laparoscopic TME. The operation time, hospital stay, postoperative intestinal function recovery time, intraoperative blood loss and postoperative complications were compared between the two groups. Results The operation time, hospital stay and postoperative intestinal function recovery time in the observation group were shorter than those in the control group. The blood loss in the observation group was less than that in the control group (P <0.05). The incidence of postoperative complications in the observation group was 13.3% 40.0% lower than the control group (P <0.05). Conclusion Laparoscopic TME is superior to open TME in treating rectal cancer. It can shorten the operation time, hospitalization time and postoperative recovery time of intestinal function, reduce the amount of intraoperative blood loss and reduce the incidence of postoperative complications.