Radical resection of rectal carcinoma by laparoscopic versus conventional laparotomy
10.3760/cma.j.issn.1673-4904.2009.14.004
- VernacularTitle:腹腔镜与开腹直肠癌根治术临床对比研究
- Author:
Xiaogang GUO
;
Jianguo WANG
;
Bin ZHANG
- Publication Type:Journal Article
- Keywords:
Laparoscopes;
Rectal neoplasms;
Surgical procedures,radical
- From:
Chinese Journal of Postgraduates of Medicine
2009;32(14):9-12
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the feasibility and curative effect of laparoscopic radical resection of rectal carcinoma. Methods Twenty-eight cases undergoing laparoscopic radical resection (laparoscopic group) and 26 cases undergoing open radical resection (open group) were enrolled from January 2004 to December 2007. The following parameters: operation-related situations, postoperative recovery,result of radical resection, and postoperative outcome were compared between the two groups. Results The blood loss during operation in laparoscopic group was less than that in open group [(148.0±26.5) ml vs (396.0±79.6) ml, P<0.01]. The gastrointestinal tract and urination function in laparoseopic group recovered faster than those in open group[the time of diet in taking was (2.8±0.1) d vs (3.9±0.3) d,the time of detaining urethral catheter was(4.2±0.2) d vs (6.0±0.8) d] (P<0.05). The hospital stay was shorter in laparoscopic group than that in open group [(9.8±1.1) d vs(13.2±2.8) d, P<0.01]. The operation time, the number of cleared lymph nodes and complications of laparoscopic between the two groups were no significant difference (P>0.05). There was no significant difference in local recurrent and beyond metastases rates between the two groups. Conclusion Laparoscopic radical resection of rectal carcinoma parallels with open surgery is in safety and effectiveness, it has less traumatic and blood loss and faster in patients recovery.
