Efficacy of Laparoscopic Total Mesorectal Excision for Treatment of Patients with Rectal Cancer
10.12007/j.issn.0258-4646.2017.08.015
- VernacularTitle:直肠癌患者腹腔镜下全直肠系膜切除术疗效分析
- Author:
Banghua ZHONG
1
;
Yuji LI
;
Fanmin KONG
Author Information
1. 中国医科大学附属第一医院胃肠疝外科
- Keywords:
laparoscope;
total mesorectal excision;
rectal cancer;
stress response;
curative effect
- From:
Journal of China Medical University
2017;46(8):739-741,745
- CountryChina
- Language:Chinese
-
Abstract:
Objective We aimed to investigate the efficacy of laparoscopic total mesorectal excision (TME) for treatment of rectal cancer.Methods We studied 90 patients with rectal cancer admitted to our hospital between March 2012 and March 2014.Patients enrolled for the study were divided into an experimental and control group.The control group underwent a TME procedure,while laparoscopic TME was performed in the experimental group.Efficacy of procedures performed and stress response indices were compared between the two groups.Results The bleeding volume,postoperative anal exhaust time,and duration of hospitalization were significantly lower in the experimental group than that noted in the control group (P ＜ 0.05),as was the incidence of complications (P ＜ 0.05).Assessment of stress indicators showed that the postoperative day 1 (1d) and day 3 (3 d) values were increased in the control group,while the experimental group showed significantly lower values across the same time frame (P ＜ 0.05).Conclusion Laparoscopic TME can reduce the incidence of complications in patients with rectal cancer,and reduce the stress response,which is beneficial for postoperative recovery of patients,and must therefore be promoted as a feasible treament option in patients with rectal cancer.
