You Position: Home > Paper

Efficacy of laparoscopic surgery for rectal cancer and impact of surgeon's degree of specialization: A single center clinical study

( views:0, downloads:0 )
Author:
No author available
Journal Title:
World Chinese Journal of Digestology
Issue:
8
DOI:
10.11569/wcjd.v24.i8.1282
Key Word:
直肠癌;腹腔镜;开腹;专业化;Rectal cancer;Laparoscopy;Open surgery;Specialization

Abstract´╝Ü AIM:To evaluate the clinical effects of laparoscopic surgery for rectal cancer and the impact of surgeon's degree of specialization.METHODS:Clinical data for 210 patients who underwent treatment for rectal cancer at Shengjing Hospital Affiliated to China Medical University from January 2010 to march 2012 were reviewed.The patients were divided into a laparoscopic surgery group and an open surgery group,and surgical outcome and postoperative outcome were compared between the two groups.According to the doctor's professional degree,the patients were divided into a professional laparoscopic surgery group and a non-professional laparoscopic surgery group,a professional open surgery group and a non-professional open surgery group.Surgical outcome and postoperative outcome were compared between these groups.RESULTS:The laparoscopic surgery group had less intraoperative blood loss,shorter time to first postoperative exhaust,shorter time to intake of liquid diets,and shorter hospital stay than the open surgery group (P < 0.01).In addition,the laparoscopic surgery group had a higher number of resected lymph nodes,earlier ambulation,shorter time to urethral catheter removal,and lower incision infection rate than the open surgery group (P < 0.05).The operation time were longer,resected specimen length was shorter,and the total cost was higher in the laparoscopic surgery group than in the open surgery group (P < 0.01).Time to intake of liquid diets was significantly shorter in the two professional groups than the two non-professional groups (P < 0.01).The professional open surgery group had a significantly lower incidence of intestinal fistula than the non-professional open surgery group (P < 0.05).CONCLUSION:Laparoscopic surgery for rectal cancer has the advantages of less intraoperative bleeding,resecting more lymph nodes,faster postoperative recovery,shorter hospitalization time,and lower postoperative incision infection rate.The degree of doctor's degree of specialization has an impact on postoperative recovery of patients undergoing radical rectal operation.

WanfangData CO.,Ltd All Rights Reserved
About WanfangData | Contact US
Healthcare Department, Fuxing Road NO.15, Haidian District Beijing, 100038 P.R.China
Tel:+86-010-58882616 Fax:+86-010-58882615 Email:yiyao@wanfangdata.com.cn