Chinese Journal of Modern Operative Surgery  2017, Vol. 21 Issue (2): 81-84 DOI: 10．16260/j．cnki．1009 －2188．2017．02．001 |
| Original Research |
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| Comparison of the Clinical Effects of Laparoscopic and Open Anus Preserving Surgery for Low Rectal Cancer |
| JIANG Xiao-hua，ZHENG Zi-han，ZHOU Peng，ZHOU Zhi-wu，WAN Yu-fei，ZHANG Tian-shun，ZHANG Wei
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| Department of General Surgery，Jiangxi Provincial People＇s Hospital，Nanchang 330006，Jiangxi，China |
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Abstract Objective To evaluate the application value of laparoscopic anus preserving surgery for low rectal cancer patients．MethodsEighty-five patients with low rectal cancers were studied respectively．There were forty-five patients in laparoscopic operation group treated with laparoscopic anus preserving operation，and forty patients in open operation group．Operation time，intra-operative hemorrhage，length of operative incision，resuming time of bowel function，postoperative drainage time and volume，complications such as anastomotic fistula and incision infection were compared between the two groups．ResultsIn the laparoscopic operation group and the open operation group，it showed significant differences in operation time of(169 ±40)min vs．(120±50)min，the hemorrhage volume of(56 ±23)ml vs．(248±92)ml(P ＜0．05)，the length of operative incision of(4．0 ±1．3)cm vs．(15．0 ±3．2)cm(P ＜0．05)，the resuming time of bowel functionof(37 ±11)h vs．(73 ±12)h(P ＜0．05)，the postoperative drainage volume of(31 ±15)ml vs．(385 ±65)ml(P ＜0．05)，the rate of anastomotic leakage of 2．2%vs．10%(P ＜0．05)，and the rate of incision infection of 0 vs．10%(P ＜0．05)．ConclusionIt demonstrates advantages of less surgical trauma，less intra-operative bleeding，quicker postoperative recovery and few postoperative complications of laparoscopic anus preserving surgery for low rectal cancer．It is feasible，safe and worthy of clinical popularization and application．
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Received: 22 November 2016
Published: 25 May 2018
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Corresponding Authors:
ZHANG Wei
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| About author:: 张伟，男，55岁，江西省人民医院胃肠外科主任医师，胃肠外科主任。 |
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ZHU Jian-ping, MOU Dong-cheng, XUE Chen-hui, YU Guo-hua, YANG Guang-wei, LI Yong-meng, MA Shuang-fei, ZHANG Qi-feng, ZHAO Yong, ZHAO Lei, WANG Hai-tao, SUN Wei-guang, TAN Jian-ping. Experiences of Emergency Laparoscopic Cholecystectomy
for Acute Cholecystitis Patients with Gallstone Incarcerated in Cervical Cystic Ducts[J]. Chinese Journal of Modern Operative Surgery, 2018, 22(1): 10-13. |
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