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目的探讨全腹腔镜下直肠癌根治术的手术方式及其随访疗效。方法选择我院2013年1月—2015年1月收治的直肠癌患者80例作为研究对象。入组对象有完整临床资料,自愿接受研究。采用随机数表法,将其分为两组,每组各40例。对照组患者按照传统根治术治疗,研究组患者按照全腹腔镜下直肠癌根治术治疗,比较两组患者的治疗效果。结果与对照组对比,研究组患者手术时间更长,术中出血量更少,术后肠蠕动恢复时间、肛门排气时间、导管留置时间、住院时间更短,并发症发生率更低,差异均具有统计学意义(P<0.05);两组随访1年,2年时复发率与生存率比较,差异均无统计学意义(P>0.05)。结论相比传统直肠癌根治术而言,全腹腔镜下直肠癌根治术尽管手术时间更长,但可减少术中出血与并发症发生,促进术后更快康复,而且随访期间复发率低,生存率高。
Objective To explore the surgical methods and follow-up efficacy of total laparoscopic radical resection of rectal cancer. Methods 80 patients with rectal cancer who were admitted to our hospital from January 2013 to January 2015 were selected as the study subjects. The enrolled subjects had complete clinical data and voluntarily accepted the study. Using a random number table method, they were divided into two groups of 40 cases each. Patients in the control group were treated with conventional radical surgery. Patients in the study group were treated with total laparoscopic radical resection of the rectal cancer. The treatment effects of the two groups of patients were compared. Results Compared with the control group, the patients in the study group had longer operation time, less intraoperative blood loss, shorter postoperative recovery time of the peristalsis, anus exhaust time, catheter indwelling time, shorter hospital stay, and lower complication rate. All were statistically significant (P<0.05). The two groups were followed up for 1 year. There was no significant difference between the recurrence rate and survival rate at 2 years (P>0.05). Conclusions Compared with conventional radical resection of rectal cancer, total laparoscopic radical resection of rectal cancer can reduce bleeding and complications during surgery, promote faster postoperative recovery, and have a low recurrence rate during follow-up. The survival rate is high.