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目的探讨直肠癌患者行腹腔镜手术治疗的安全性、根治性和临床效果。方法将本院2011年手术治疗的80例直肠癌患者纳入研究,其中腹腔镜组38人,开腹组42人,比较患者基本特征、手术标本病理结果、术中情况、术后恢复情况、并发症及医疗费用等的差异。结果两组患者临床资料间的差异无统计学意义;腹腔镜组术后恢复方面显著优于开腹组,术后并发症低于开腹组,淋巴结清扫数方面,两组无统计学意义。结论腹腔镜直肠手术治疗直肠肿瘤安全有效,值得进一步推广应用。
Objective To investigate the safety, curative effect and clinical effect of laparoscopic surgery in patients with rectal cancer. Methods Eighty patients with rectal cancer who underwent surgical treatment in our hospital in 2011 were enrolled. Among them, 38 were in the laparoscopic group and 42 were in the open group. The basic characteristics of the patients, pathological findings, intraoperative status, postoperative recovery and complications were compared Symptoms and medical expenses and other differences. Results There was no significant difference in clinical data between the two groups. Laparoscopic group was significantly better than open group in postoperative recovery. Complications after operation were lower than those in open group and lymph node dissection. There was no significant difference between the two groups. Conclusions Laparoscopic rectal surgery is safe and effective for rectal cancer and is worth further promotion and application.