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《Practical Journal of Medicine & Pharmacy》 2015-01
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Clinical effect of laparoscopic Mile's and perineal anal reconstruction operation for patients with low rectal cancer:A retrospective analysis

WEI Dong;ZHANG Hui;CAI Jian;Whole-army Anus-colorectal Surgery Institute,the 150th Central Hospital of Chinese PLA;  
Objective To evaluate the safety and clinical effect of laparoscopic Mile 's and perineal anal reconstruction operation for patients with low rectal cancer. Methods All of the patients underwent Mile's and perineal anal reconstruction operation for rectal cancer in No. 150 hospital from April 2006 to February 2010 were followed up. Among them 58 patients underwent laparoscopicsurgery,44 patients underwent open surgery. All these datas such as survival time,operation time,blood loss, harvested lymph nodes,the time to first flatus,the time of stay in hospital and complications were collected and compared between the two groups. Results The average blood loss in laparoscopic and open group were 88.28 and 247.73 ml respectively(P 0.01). The time of first flatus,first drink and hospital stay were shorter in laparoscopic group than in open group(P0.01). The number of lymph nodes harvested in laparoscopic group were significant larger than the number in open group(18.931±6.973 and 13.091±8.166,P0.01)。 There were no significant difference in operation time and complication morbidity in two groups(P0.05). The 3 years accumulated survival rates were 87.9% and 86.1% in laparoscopic and open group respectively with no significant difference(P 0.05). Conclusion The clinical effects of laparoscopic and open Mile's and perineal anal reconstruction operation were similar for patients with low rectal cancer.Laparoscopic operation is a safe and feasible choice with quicker recover after the operation.
【CateGory Index】: R735.37
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1 WEI Dong;ZHANG Hui;CAI Jian;Whole-army Anus-colorectal Surgery Institute,the 150th Central Hospital of Chinese PLA;;Clinical effect of laparoscopic Mile's and perineal anal reconstruction operation for patients with low rectal cancer:A retrospective analysis[J];实用医药杂志;2015-01
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