摘要
目的探讨3D腹腔镜辅助直肠癌Dixon术治疗直肠癌的疗效及安全性。方法将如皋市人民医院择期行手术治疗的直肠癌患者178例随机按1:1分为3D组和2D组,3D组行3D腹腔镜直肠癌Dixon术,2D组行2D腹腔镜直肠癌Dixon术,比较2组围术期指标、免疫功能、术后并发症及3年生存率。结果 3D组手术耗时、术中出血量、留置尿管时间、首次下床时间、进流食时间、住院时间均明显低于2D组(P<0.05);3D组与2D组标本长度、淋巴结清扫数目、肿瘤距下切缘距离比较,差异无统计学意义(P>0.05);2组术后3 d CD3+、CD4+、CD8+、CD4+/CD8+均较术前下降(P<0.05),3D组下降幅度大于2D组;3D组术后并发症总发生率低于2D组(P<0.05),3D组与2D组术后3年生存率比较差异无统计学意义(P>0.05)。结论 3D腹腔镜辅助直肠癌Dixon术具有操作细致、定位精准、术中创伤小、安全等优点,可有效缩短手术耗时,减少术后并发症,有助于患者术后恢复。
Objective To explore the efficacy and safety of 3 D laparoscopy assisted radical resection of rectal cancer(Dixon). Methods A total of 178 cases of patients with rectal cancer treated with elective surgery in our hospital were randomly and evenly divided into the 3 D group and 2 D group. The 3 D group was given 3 D laparoscopy assisted Dixon operations for rectal cancer, while the 2 D group received 2 D laparoscopy assisted Dixon operations for rectal cancer. The perioperative indexes, immune function, postoperative complications and 3-year survival rate were compared between the two groups. Results The duration of surgery, intraoperative blood loss, indwelling catheter time, first out-of-bed time, inf low food intake time and hospital stay were significantly better in the 3 D group than those in the 2 D group(P<0.05). There was no significant difference in the specimen length, number of lymph nodes dissected or the distance from t he t u mor t o t he lowe r m a rg i n b e t we e n t he t wo g r ou p s(P>0.05). T he level s of C D3+、CD4+、CD8+、CD4+/C D8+ at 3 d after operation in the two groups became lower after(P<0.05), especially in the 3 D group. The total incidence of postoperative complications was lower in the 3 D group than that in the 2 D group(P<0.05), and there was no significant difference in postoperative 3-year survival rate between the two groups(P>0.05). Conclusion 3 D laparoscopy assisted Dixon for rectal cancer has the advantages of prudent operation, precise positioning, small intraoperative trauma and safety. And it can effectively shorten the duration of surgery, reduce postoperative complications, and help patients recover after operation.
作者
吴晶
WU Jing(Department of General Surgery,The People's Hospital of Rugao,Rugao Jiangsu 226500,China)
出处
《空军医学杂志》
2019年第6期482-484,487,共4页
Medical Journal of Air Force
关键词
3D腹腔镜
直肠癌
DIXON术
围术期
生存率
3D laparoscopy
rectal cancer
Dixon operation
perioperative
survival rate
