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Chinese Journal of Operative Procedures of General Surgery(Electronic Edition) ›› 2019, Vol. 13 ›› Issue (04): 396-399. doi: 10.3877/cma.j.issn.1674-3946.2019.04.024

Special Issue:

• Original Article • Previous Articles     Next Articles

Clinical comparison of laparoscopic and transanal pull-through radical surgery and conventional open surgery for the treatment of mid-low rectal cancer

Qinkui Wang1, Bingyang Ji1,()   

  1. 1. Department of anal bowel, fourth people’s hospital of Shaanxi province 710443
  • Received:2018-08-23 Online:2019-08-26 Published:2019-08-26
  • Contact: Bingyang Ji
  • About author:
    Corresponding autho: Ji Bingyang, Email:

Abstract:

Objective

To compare clinical efficacy of laparoscopic and transanal pull-through radical surgery y and conventional open surgery for the treatment of mid-low rectal cancer.

Methods

The clinical data of 103 patients with middle and lower rectal cancer treated in our hospital from June 2014 to April 2018 were retrospectively analyzed. According to the different surgical methods, they were divided into study group and control group, among them, 49 patients in the study group were treated with laparoscopic and transanal pull-through radical surgery, and 54 patients in the study group were treated with conventional open surgery. The relevant indicators of surgery, the incidence of complications and the efficiency of clinical treatment between the two groups were compared, among them, the independent sample t-test was used to compare the relevant indicators of surgery, Chi-square test was used to compare the incidence of complications and the efficiency of clinical treatment.

Results

There was no significant difference in the operation time and the number of lymph node dissection between the two groups (all P>0.05), the blood loss, intestinal function recovery time and hospitalization time in the study group were significantly lower than those in the control group (all P<0.05). The incidence of complications was 8.2% in the study group and 11.1% in the control group, there was no significant difference between the two groups (P>0.05). The treatment effective rate was 95.9% in the study group and 83.3% in the control group, the treatment effective rate of the study group was significantly higher than that of the control group (P>0.05).

Conclusion

Compared with traditional open surgery for the treatment of middle and lower rectal cancer, laparoscopic and transanal pull-through radical surgery has the advantages of higher treatment efficiency, less bleeding, rapider recovery of intestinal function and shorter hospitalization time, it is worthy of popularization and application.

Key words: Rectal neoplasms, Laparoscopy, Laparotomy, Treatment outcome

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