Clinical comparison of laparoscopic and open total mesorectal for stage ⅡorⅢrectal cancer
10.3969/j.issn.1006-5725.2017.17.011
- VernacularTitle:腹腔镜与开腹全直肠系膜切除术治疗Ⅱ、Ⅲ期直肠癌临床疗效比较
- Author:
jin Cai ZHOU
1
;
Qingwen XU
;
Wenting OU
;
Feipeng XU
;
Lin LIN
;
Zhe HUANG
Author Information
1. 广东医学院附属医院胃肠外科
- Keywords:
rectal cancer;
laparoscopic technology
- From:
The Journal of Practical Medicine
2017;33(17):2850-2852
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe and compare the safety and short-term outcomes of laparoscopic surgery (LS)versus conventional open surgery(OS)for stage Ⅱor Ⅲ rectal cancer(RC). Methods One hundred and six patients with stage ⅡorⅢRC were divided into LS group(n=53)and OS group(n=53)according to the random double blind method. The related outcomes of two groups were compared ,including surgical duration , intraoperative blood loss , length of incision , distal margin length , proximal margin length , the number of lymph node dissection,residual cancer rate,exhaust time,first ambulation time,and postoperative hospital stay. Results Intraoperative blood loss,length of incision,postoperative hospital stay,exhaust time and the first ambu-lation time in LS group were significantly different from those in OS group (P < 0.05 for all comparisons). And there were no significant differences between the two groups in surgical duration ,the number of lymph node dissec-tion,distal margin length,proximal margin length and residual cancer rate(P > 0.05). Conclusions Laparo-scopic technology is safe and feasible in treating rectal carcinoma,with less trauma,quicker recovery,and shorter hospital stay.
