开腹与腹腔镜ISR术式治疗Ⅱ～Ⅲ期低位直肠癌保肛的对比分析

doi:10.3969/j.issn.2095-378X.2017.03.005

Abstract

Abstract: Objective To analyze and compare the clinical effects of laparotomy and laparoscopic intersphincteric resection (ISR) in the preservation of rectal cancer at stage Ⅱ-Ⅲ.Methods A total of 70 patients with stage Ⅱ-Ⅲ low rectal cancer were selected from Department of General Surgery and randomly divided into an observational group (laparotomy ISR) and a control group (laparoscopic ISR).The clinical indicators,incidence rate of postoperative complications,and recurrence rate between the two groups were compared.Results The observation group showed significantly less intraoperative blood loss volume[(94.68±18.76) mL vs.(203.22±35.18) mL],shorter first anal exsufflation time[(1.21±0.36) d vs.(2.18±0.67) d],and shorter hospital stay[(9.54±1.39) d vs.(12.73±1.52) d] than the control group (P<0.05),but no differences in operation time and the number of lymph node dissection were observed.The incidence rate of postoperative complications (11.43% vs.37.14%) and recurrence rate (5.71% vs.22.86%) in the observation group were also significantly lower than those of the control group (P<0.05).Conclusion Compared with laparotomy ISR,laparoscopic ISR has a better clinical therapeutic effect and lower postoperative complication rate and recurrence rate;therefore,it is worthy of clinical application.

Key words: Laparotomy, Laparoscopic intersphincteric resection, Low rectal cancer

CLC Number:

LIANG Bingying. Comparative analysis of laparotomy and laparoscopic intersphincteric resection in treatment of stage Ⅱ-Ⅲ low rectal cancer[J]. Surgical Research and New Technique, 2017, 6(3): 162-164.

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Comparative analysis of laparotomy and laparoscopic intersphincteric resection in treatment of stage Ⅱ-Ⅲ low rectal cancer

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