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目的比较手助腹腔镜结直肠癌根治手术与开腹手术的临床疗效。方法 98例结直肠癌患者依据手术方法分为手助腹腔镜组和开腹组各49例,均行相应根治手术。结果 2组均顺利完成手术,手助腹腔镜组均未中转开腹,2组手术时间、淋巴结清扫数目、术后短期并发症发生率及局部复发率等比较差异无统计学意义(P>0.05);手助腹腔镜组切口长度、术中出血量、肠道功能恢复时间、开始进食时间、术后住院天数与开腹组比较差异均有统计学意义(P<0.05)。结论手助腹腔镜手术创伤小、恢复快、安全,且可到根治目的。
Objective To compare the clinical effects of hand-assisted laparoscopic radical mastectomy and laparotomy. Methods A total of 98 cases of colorectal cancer patients were divided into manual laparoscopic group and open group according to the surgical method. All 49 patients underwent radical resection. Results The operation was completed successfully in both groups, and no laparoscopic surgery was performed in both groups. There was no significant difference in the operation time, the number of lymph node dissection, the incidence of postoperative short-term complication and the local recurrence rate between the two groups (P> 0.05 ); Hand-assisted laparoscopic incision length, blood loss, intestinal function recovery time, starting time to eat, postoperative hospital stay and laparotomy groups were significantly different (P <0.05). Conclusions hand-assisted laparoscopic surgery trauma, rapid recovery, safety, and can be cured.