| 叶飞刘岩杨湘武易波李鹏洲朱利勇谭娟刘升平朱晒红△.直肠癌腹腔镜Dixon 术与传统Dixon 术的临床效果对比分析[J].现代生物医学进展英文版,2012,12(9):1671-1673. |
| 直肠癌腹腔镜Dixon 术与传统Dixon 术的临床效果对比分析 |
| Comparison of Laparoscopic and Openradical by Dixon of Rectal Carcinoma |
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| DOI： |
| 中文关键词: 腹腔镜 直肠癌 Dixon 手术 |
| 英文关键词: Laparoscopic Rectal carcinoma Dixon |
| 基金项目: |
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| 中文摘要: |
| 目的：对比腹腔镜直肠癌Dixon 术与传统Dixon 术两种手术方式的优缺点。方法：对我院2005 年9 月至2010 年8 月期间
326 例行腹腔镜下直肠癌Dixon 术与传统Dixon 术的患者临床资料作回顾性对比分析。结果：腹腔镜直肠癌Dixon 术手术时间、
胃肠功能恢复和住院时间较传统开腹Dixon 术时间短，术中出血量较传统Dixon 术少，术后镇痛方面较传统手术有优越性，术后
粘连性肠梗阻发生率较传统手术少、术后吻合口瘘发生率及肿瘤复发率两者无显著性差异。结论：腹腔镜直肠癌Dixon 与传统
Dixon 手术相比，术中出血少，创伤小，术后恢复好，具有明确的微创优势，是安全可行的。 |
| 英文摘要: |
| Objective: To investigate the advantages and disadvantages of laparoscopic Dixon of rectal carcinoma and openradical
Dixon rectal carcinoma. Methods: The 326 cases of clinical data of Laparoscopic Dixon and openradical Dixon during September 2005
to August 2010 were retrospectively analyzed. Results: The operation time, recovery time of gastrointestinal function, hospitalization stay
of laparoscopic group was shorter than that of the openradical group, the intra- operative blood loss of the laparoscopic group was obviously
less than that of the open group(70±10 ml vs 120±15 ml, P<0.01), postoperative pain than traditional surgery has advantages, the
incidence of postoperative adhesive intestinal obstruction less than traditional surgery and the incidence of postoperative anastomotic
leakage, and tumor recurrence rate was no significant difference between the two. Conclusion: The openradical, laparoscopic group has
less bleeding, less trauma and earlier recovery of function of these benefits and has advantage of minimally invasive. |
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