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目的探讨腹腔镜下手术和开腹手术治疗直肠癌术后局部复发的临床疗效。方法根据患者意愿,将75例患者分为腹腔镜组(27例)和开腹组(48例)。结果腹腔镜组手术时间长于开腹组(P<0.05),术中出血量和住院时间均明显少于开腹组(P<0.05),术后并发症发生率明显低于开腹组(P<0.05),但在肛门排气时间、开始摄食时间等无统计学差异(P>0.05),两组1年生存率比较也无统计学差异(P>0.05)。结论腹腔镜技术为直肠癌术后局部复发的临床治疗提供了新的选择,选择合适的直肠癌术后复发病例施行腹腔镜再手术是安全可行的。
Objective To investigate the clinical efficacy of laparoscopic surgery and laparotomy in the treatment of postoperative local recurrence of rectal cancer. Methods According to the patients’ wishes, 75 patients were divided into laparoscopic group (27 cases) and open group (48 cases). Results The operation time of laparoscopic group was significantly longer than that of laparotomy group (P <0.05). The amount of bleeding and hospital stay were significantly less than those of laparotomy group (P <0.05). The incidence of postoperative complications was significantly lower than that of laparotomy group (P <0.05). However, there was no significant difference between the time when the anus was exhausted and the time when feeding started (P> 0.05). There was also no significant difference in 1-year survival between the two groups (P> 0.05). Conclusion Laparoscopic surgery provides a new choice for the clinical treatment of postoperative local recurrence of rectal cancer. It is safe and feasible to select laparoscopic reoperation for the suitable postoperative recurrence of rectal cancer.