Journal of Capital Medical University ›› 2013, Vol. 34 ›› Issue (5): 689-692.doi: 10.3969/j.issn.1006-7795.2013.05.011

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Comparative analysis of short-term outcomes of laparoscopic and open surgery for rectal cancer

QIU Feng, WANG Jin   

  1. Department of Surgery, Beijing Friendship Hospital, Capital Medical University, Beijing 100050
  • Received:2012-11-07 Online:2013-10-21 Published:2013-10-22
  • Supported by:

    This study was supported by Beijing municipal Foundation for the Excellent Talents (2012D003034000011).

Abstract:

Objective To conduct a comparative analysis of short-term outcomes of laparoscopic and open surgery for rectal cancer. Methods Retrospective analysis was performed on 138 cases who underwent rectal cancer surgery in Beijing Friendship Hospital from January 2009 to March 2012. The cases were divided into laparoscopic surgery group (n=82) and open surgery group (n=56). The short-term outcomes, including radical therapeutic effect of surgery, intraoperative details, postoperative recovery and postoperative complications were compared between the two groups.Results The blood loss of laparoscopic group and open surgery group were (103.0±93.1)mL and (158.0±130.1)mL. The postoperative analgesia number was 18 (22.0%) and 29 (51.8%), flatus time was (2.4±0.6) days and (2.8±0.9) days, defecation time was (3.3±1.0) days and (3.7±1.3) days, the postoperative feeding time was (3.8±1.3) days and (4.6±2.0) days, hospital stay was (19.6±7.1) days and (22.0±9.1) days, postoperative complication rates were 14 (17.1%) and 21 (37.5%). The differences mentioned above were statistically significant (P<0.05), and there were no significant differences in the rest of the compared indicators. Conclusion The laparoscopic rectal cancer surgery can achieve the similar radical therapeutic effect as the open surgery. Besides that it has the advantages of shorter hospital stay, less blood loss, less postoperative pain, faster recovery of gastrointestinal function and fewer complications.

Key words: rectal cancer, laparoscopic surgery, short-term outcomes

CLC Number: