微创医学

目的探讨电凝钩法联合拖出式吻合治疗中低位直肠癌的效果及可行性。方法对诊断为中低位直肠癌的60例病人分别施以腹腔镜下电凝钩法联合经肛门拖出式吻合手术(A组,n=30)及腹腔镜下超声刀及吻合器(B组,n=30)治疗,观察两组的手术时间、住院费用、术后并发症。结果两组病人的手术时间无明显差异(P>0.05),A组住院费用明显低于B组(P<0.05),术后并发症发生率无明显差异(P>0.05)。结论腹腔镜下电凝钩法联合经肛门拖出式吻合治疗中低位直肠癌是安全可行的,其无腹部辅助切口,更微创,且住院费用低,适合于推广应用。

Objective To explore the effect and feasibility of laparoscopic electrocoagulating hook’ method combined with transanal anastomosis method in the treatment of mid-low rectal cancer． Methods Clinical data of 60 diagnosed mid-low rectal cancer patients were analyzed retrospectively． 30 cases were performed with laparoscopic electrocoagulating hook’ method combined transanal anastomosis surgical treatment( group A) ． Other 30 cases were performed with ultrasonic scalpel combined arc GIA surgical treatment( group B) ． Operation time，hospitalization costs，and postoperative complications were compared between the two surgical methods． Results No significant difference was observed between the two groups in operation time and postoperative complication rate，all P ＞ 0． 05． But hospital costs was much lower in group A than in group B P ＜ 0． 05． Conclusion Electrocoagulating hook’ method combined with transanal anastomosis’ method is safe and feasible． It has no assisted abdominal incision，and is much microinvasive，with lest hospital cost，and suitable for spreading．

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