直接手助腹腔镜与开腹直肠癌根治的疗效比较
直接手助腹腔镜;根治性切除;直肠癌,俞金龙,黄宗海,吴爱国,陈海金,范应方,通讯作者:,Clinicalcomparisonbetweenhand-assistedlaparoscopyandopenradicalresectioninthetreatm
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俞金龙, 黄宗海, 吴爱国, 陈海金, 范应方, 南方医科大学珠江医院普外科 广东省广州市 510280
通讯作者: 俞金龙, 510280, 广东省广州市, 南方医科大学珠江医院普外科. chenhaijin@sina.com
收稿日期: 2007-03-06 接受日期: 2007-03-30
Clinical comparison between hand-assisted laparoscopy and open radical resection in the treatment of rectal cancer
Jin-Long Yu, Zong-Hai Huang, Ai-Guo Wu, Hai-Jin Chen, Ying-Fang Fan
Jin-Long Yu, Zong-Hai Huang, Ai-Guo Wu, Hai-Jin Chen, Ying-Fang Fan,Department of General Surgery, Zhujiang Hospital Affiliated to Nanfang Medical University, Guangzhou 510280, Guangdong Province, China
Correspondence to:Jin-Long Yu, Department of General Surgery, Zhujiang Hospital Affiliated to Nanfang Medical University, Guangzhou 510280, Guangdong Province, China. chenhaijin@sina.com
Received:2007-03-06 Accepted:2007-03-30
Abstract
AIM: To evaluate the feasibility and short-term efficacy of hand-assisted laparoscopy and open radical resection in the treatment of rectal cancer.
METHODS: From January 2005 to January 2007, hand-assisted laparoscopic surgery (HALS) and open radical resection (ORR) were performed in 31 cases of rectal cancer, respectively. The curative effect and clinical data were collected and retrospectively analyzed.
RESULTS: No cases were converted to open surgery after HALS. The mean blood loss (150 ± 42.5 mL vs 250 ± 34.6 mL, P < 0.05), restoration time of intestinal function (2 ± 1.0 d vs 4 ± 1.0 d, P < 0.05) and post-operative complication rate (3.2% vs 12.9%, P < 0.05) were significantly different between HALS and ORR group. However, the operation time, local recurrence rate and lymph node harvest had no marked difference between the two groups.
CONCLUSION: Both HALS and ORR are feasible and safe for the patients with rectal cancer, but the former can provide a better bowel function restoration and less blood loss ......
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