文章摘要
万晓,胡磊,刘流,何义仁,刘少军,朱志强.腹腔镜技术在低位进展期直肠癌保肛手术中的应用[J].中国临床保健杂志,2019,22(1):96-99.
腹腔镜技术在低位进展期直肠癌保肛手术中的应用
The application and prognosis of laparoscopic technique in locally advanced low rectal cancer with anus conserving surgery
投稿时间:2018-04-16  
DOI:10.3969/J.issn.1672-6790.2019.01.026
中文关键词: 直肠肿瘤  腹腔镜检查  预后  手术后并发症
英文关键词: Rectal neoplasms  Laparoscopy  Prognosis  Postoperative complications 〖FL
基金项目:安徽省卫生厅医学科研课题(2010B002)
作者单位E-mail
万晓 中国科学技术大学附属第一医院安徽省立医院普通外科,合肥 230001 zhuzhiqiang711010@163.com 
胡磊 中国科学技术大学附属第一医院安徽省立医院普通外科,合肥 230001 zhuzhiqiang711010@163.com 
刘流 中国科学技术大学附属第一医院安徽省立医院普通外科,合肥 230001 zhuzhiqiang711010@163.com 
何义仁 中国科学技术大学附属第一医院安徽省立医院普通外科,合肥 230001 zhuzhiqiang711010@163.com 
刘少军 中国科学技术大学附属第一医院安徽省立医院普通外科,合肥 230001 zhuzhiqiang711010@163.com 
朱志强 中国科学技术大学附属第一医院安徽省立医院普通外科,合肥 230001 zhuzhiqiang711010@163.com 
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中文摘要:
      目的 探讨腹腔镜技术在低位进展期直肠癌保肛手术中应用的临床疗效。方法 回顾性分析126例低位局部进展期直肠癌患者病历资料,根据手术方式将患者分为开腹组及腹腔镜组,分析临床资料及随访情况。结果 126例低位局部进展期直肠癌患者经病理结合影像学证据明确诊断。其中开腹组70例,腹腔镜组56例。腹腔镜组患者术后尿管再插率、术后住院日均显著低于开腹组[尿管再插率:10/70 比2/56,Logrank χ2=4.145,P<0.05;术后住院日:(5.98±0.98)d 比(8.37±3.23)d,Logrank χ2=28.552,P<0.001]。腹腔镜组术后切口疼痛减轻,两组间出血、吻合口瘘、肺部感染、切口感染等手术并发症发生率、生存时间均差异无统计学意义。结论 腹腔镜保肛手术在低位进展期直肠癌患者安全可行。
英文摘要:
      Objective To explore the effect and prognosis of laparoscopic technique in locally advanced low rectal cancer with anus conserving surgery. Methods One hundred and twenty six patients with locally advanced low rectal cancer were retrospectively analyzed.All patients were divided into two groups according to the surgical approach:open surgery group and laparoscopic surgery group.The clinical data and prognosis were analyzed. Results One hundred and twenty six patients were diagnosed with locally advanced low rectal cancer by histopathological and imaging.Seventy patients were undergoing open surgery and 56 were under laparoscopic surgery.The postoperative urinary catheter reinsertion rate and postoperative hospital stay of laparoscopic surgery were lower than those in the open surgery group(Urinary catheter reinsertion rate:10/70 vs 2/56,Logrank χ2=4.145,P<0.05;postoperative hospital stay:(5.98±0.98)d vs (8.37±3.23)d,Logrank χ2=28.552,P<0.001).The differences of the bleeding,fistula or other complications of surgery except incision pain(Bleeding:1/56 vs 0/70,P>0.05; fistula:0/56 vs 1/70,P>0.05;incision pain:12/56 vs 28/70,P<0.05;lung infection:3/56 vs 5/70,P>0.05;Incision infection:2/56 vs 7/70,P>0.05) were not significant difference between the two groups.In addition,no significant difference was observed in survival rate between the two groups. Conclusion The laparoscopic technique is feasible and safe in locally advanced low rectal cancer with anus conserving surgery.
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