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．
江晓华，郑子晗，周鹏，周秩武，万宇飞，张天顺，张伟. 腹腔镜与开腹低位直肠癌保肛手术临床疗效比较[J]. 中国现代手术学杂志, 2017, 21(2): 81-84.
JIANG Xiao-hua，ZHENG Zi-han，ZHOU Peng，ZHOU Zhi-wu，WAN Yu-fei，ZHANG Tian-shun，ZHANG Wei. Comparison of the Clinical Effects of Laparoscopic and Open Anus Preserving Surgery for Low Rectal Cancer. Chinese Journal of Modern Operative Surgery, 2017, 21(2): 81-84.
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2017, Vol. 21 
