腹腔镜与开腹直肠癌根治术围手术期并发症及预后比较

发布时间：2018-01-20 00:05

本文关键词： 直肠癌腹腔镜并发症预后　出处：《安徽医学》2015年06期 　论文类型：期刊论文

【摘要】：目的比较分析腹腔镜与开腹直肠癌根治术围手术期并发症发生率及预后。方法对安徽医科大学第一附属医院2009年2月至2011年5月施行腹腔镜直肠癌根治术(腹腔镜组,72例)和开腹直肠癌根治术(开腹组,125例)患者的围手术期并发症发生率及预后进行比较分析。结果腹腔镜组与开腹组的总并发症发生率、术中并发症及3年生存率差异无统计学意义(P0.05);腹腔镜组术后并发症发生率低于开腹组,差异有统计学意义(P0.05)。结论腹腔镜和开腹直肠癌根治术均可以达到较好远期预后,腹腔镜手术不增加术中并发症风险,术后并发症总发生率低于开腹手术。
[Abstract]:Objective to compare the incidence of perioperative complications and prognosis between laparoscopic and open radical resection of rectal cancer. Methods Laparoscopic rectal cancer was performed from February 2009 to May 2011 in the first affiliated Hospital of Anhui Medical University. Radical operation (. Laparoscopic group. The incidence and prognosis of perioperative complications in 72 patients with rectal cancer and 125 patients with radical resection of open rectal cancer were compared and analyzed. Results the total incidence of complications in laparoscopy group and laparotomy group was compared with that in laparotomy group. There was no significant difference in intraoperative complications and 3-year survival rate (P 0.05). The incidence of postoperative complications in the laparoscopic group was lower than that in the open group, and the difference was statistically significant (P0.050.Conclusion Laparoscopic and open radical resection of rectal cancer can achieve a good long-term prognosis. Laparoscopic surgery does not increase the risk of intraoperative complications, the total incidence of postoperative complications is lower than open surgery.
【作者单位】：安徽医科大学第一附属医院普外科;
【分类号】：R735.37
【正文快照】： 结直肠癌是消化道第二大恶性肿瘤,全世界每年新增病例达120万,手术是目前可以根治结直肠癌的治疗方法。自1992年Kockering等[1]首次成功施行第一例腹腔镜直肠癌根治术以来,随着腹腔镜技术及器械快速发展,腹腔镜直肠癌根治术在国内外广泛开展,多项随机对照试验表明其出血少、创

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