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目的比较腹腔镜术式和传统开腹术治疗直肠癌患者的疗效。方法选择40例直肠癌患者作为研究对象,按照随机数字表分为观察组与对照组,对照组20例采用传统开腹术,观察组20例采用腹腔镜术式,比较两组患者的手术效果。结果治疗后,观察组的术中出血量、术后住院时间、肛门排气时间以及肠道恢复时间等指标均明显优于对照组,组间比较,差异有统计学意义;观察组患者的肿瘤远处转移率、局部复发率和3年无瘤生存率也明显高于对照组,组间比较,差异有统计学意义。结论腹腔镜手术疗效优于传统开腹直肠癌手术,对直肠癌患者具有十分重要的意义,可明显减少术中出血量,减轻创伤,缩短术后住院时间,促进肠道恢复,有效延长生存期,有利于预后,值得临床应用。
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腹腔镜直肠癌手术与传统开腹直肠癌手术的疗效比较
Comparison of laparoscopic with conventional open surgery in treatment of colorectal cancer
微创医学 201501期 页码：71-73
作者机构：湖北省潜江市中心医院普外科
基金信息：收稿日期：2014-11-5
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Objective To compare the clinical efficacy of laparoscopic with conventional open surgery for colorectal cancer. Methods 40 cases of colorectal cancer were included in the study,the control group of 20 cases was treated with traditional open surgery,and the observation group 20 cases were treated with laparoscopic procedure,and the patient′s surgical results were compared. ResultsThe patient′s blood loss, postoperative hospital stay,flatus,and other indicators of intestinal recovery time of the observation group were significantly better than those of control group. The tumor metastasis rate,local recurrence rate and 3year survival rate of the observation group were significantly higher than those of the control group. Conclusions Laparoscopic surgery in treatment of colorectal cancer,compared with open surgery,can significantly reduce blood loss,trauma,and shorten postoperative hospital stay,and promote the patient′s intestinal recovery,worthy of clinical application.
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