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目的探讨腹腔镜直肠癌全系膜切除术(TME)治疗低位直肠癌的近期疗效。方法我院诊治的48例低位直肠癌患者,随机将其分为对照组(开腹TME手术)和观察组(腹腔镜TME手术),对两组术中出血量、术后排气时间、住院时间,以及术后并发症,进行观察和比较。结果与对照组相比,观察组术中出血量、术后排气时间、住院时间均明显减少,术后吻合口漏、肠梗阻、切口感染术后并发症的发生率显著降低,P<0.05,差异有统计学意义。结论腹腔镜直肠癌全系膜切除术治疗低位直肠癌的近期疗效显著,明显改善患者的预后质量,值得临床推广。
Objective To investigate the short-term effect of laparoscopic total mesorectal excision (TME) in the treatment of low rectal cancer. Methods Forty-eight patients with low rectal cancer treated in our hospital were randomly divided into control group (laparotomy TME surgery) and observation group (laparoscopic TME surgery). The blood loss, postoperative exhaust time, hospitalization Time, and postoperative complications, were observed and compared. Results Compared with the control group, the intraoperative blood loss, postoperative exhaust time and hospitalization time in the observation group were significantly decreased. The incidence of postoperative complications such as anastomotic leakage, intestinal obstruction and incision infection was significantly decreased (P <0.05) ,The difference was statistically significant. Conclusions Laparoscopic total mesorectal excision for the treatment of low rectal cancer has a significant short-term curative effect, which obviously improves the quality of prognosis of the patients and deserves clinical promotion.