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目的观察腹腔镜辅助下直肠癌根治术的临床疗效。方法回顾性分析行腹腔镜辅助或开腹手术治疗77例直肠癌患者的临床资料,记录手术切口长度、手术时间、术中出血量、切除淋巴结个数、术后排气时间、流质恢复时间和术后住院时间,分析2种手术方法的临床疗效。结果与开腹手术组相比,腹腔镜组患者手术切口长度减小、术中出血量减少、术后住院时间缩短(P<0.05),手术时间、切除淋巴结个数、肠外镇痛药使用、术后排气时间和流质恢复时间比较差异无统计学意义(P>0.05)。结论经腹腔镜直肠癌切除术可达到与传统开腹术相同的治疗效果,具有损伤小、患者恢复快等优势。
Objective To observe the clinical effect of laparoscopic assisted radical resection of rectal cancer. Methods The clinical data of 77 patients with rectal cancer treated by laparoscopy or laparotomy were retrospectively analyzed. The length of incision, operation time, intraoperative blood loss, number of resected lymph nodes, postoperative exhaust time, recovery time and Postoperative hospital stay, analysis of two surgical methods of clinical efficacy. Results Compared with the open surgery group, the length of surgical incision decreased, the intraoperative blood loss decreased, the length of hospital stay shortened (P <0.05), the time of operation, the number of lymph nodes removed, and the use of parenteral analgesics There was no significant difference in postoperative exhaust time and fluid recovery time (P> 0.05). Conclusions Laparoscopic resection of rectal cancer can achieve the same therapeutic effect as traditional open surgery, with the advantages of less damage and faster recovery of patients.