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目的探讨直肠全息膜切除术(TME)对直肠癌的临床治疗效果。方法 80例直肠癌患者随机分为观察组与参考组,观察组在腹腔镜下行直肠全系膜切除术治疗,参考组采用开腹直肠全系膜切除术治疗,对两组患者手术时间、术中出血量、肠道功能恢复时间、淋巴结清扫及并发症发生率。结果两组患者手术时间、淋巴结清扫比较差异无统计学意义(P>0.05);观察组术中出血量、肠道功能恢复时间及并发症发生率与参考组比较差异有统计学意义(P<0.05)。结论在腹腔镜下行直肠全系膜切除术治疗具有并发症少、出血少、术后患者康复快等优势,可作为有效治疗手段在临床推广使用。
Objective To investigate the clinical effect of rectal holographic resection (TME) on rectal cancer. Methods Eighty patients with rectal cancer were randomly divided into observation group and reference group. The observation group underwent laparoscopic total mesorectal excision. The reference group was treated by open total mesorectal excision. The operation time, In the amount of bleeding, intestinal function recovery time, lymph node dissection and complication rate. Results There was no significant difference in operative time and lymph node dissection between the two groups (P> 0.05). The intraoperative blood loss, the recovery time of intestinal function and the incidence of complications in the observation group were significantly different from those in the reference group (P < 0.05). Conclusions Laparoscopic total mesorectal excision has the advantages of less complications, less bleeding and faster recovery after operation, which can be used as an effective treatment in clinical practice.