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- W3031635067 abstract "ObjectiveTo compare the efficacy of laparoscopic and conventional open total mesorectal excision (TME) in the treatment of rectal cancer, and to explore the considerations of laparoscopic TME.Methods75 cases of laparoscopic group and 61 cases of open surgery group were analyzed retrospectively, and cohort study was used to compare the perioperative indicators and clinicopathological results in the two groups.ResultsBetween the laparoscopic group and the open surgery group, the operative incision [8.7 cm (8.0-10.0 cm) vs. 13.6 cm (10.0-16.0 cm)], the use of postoperative analgesics (8 cases vs. 23 cases), postoperative time to remove the drainage tube [5 d (5-6 d) vs. 6 d (6-8 d)], postoperative time to get out of bed [3 d (3-7 d) vs. 5 d (4-8 d)] and postoperative hospital stay time [6 d (5-18 d) vs. 8 d (6-25 d)] had statistical difference (all P<0.05). The cost of laparoscopic group was higher than that of open surgery group (each patient in laparoscopic group spent more about 7 000 yuan than ones in open surgery group). There was a significant difference in the overall complication rate between the laparoscopic group and the open surgery group [6.7% (5/75) vs. 13.1% (8/61), P<0.05].ConclusionsThe postoperative analgesics, removal of drainage tube time, hospital stay and other indicators in the laparoscopic TME are superior compared with those in the open surgery, but due to the use of high-value consumables, the cost of laparoscopic surgery is higher. Besides, laparoscopic resection of rectal cancer should be careful.Key words: Rectal neoplasms; Total mesorectal excision; Laparoscopy" @default.
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- W3031635067 date "2016-10-28" @default.
- W3031635067 modified "2023-09-26" @default.
- W3031635067 title "Comparison between laparoscopic and open total mesorectal excision in the treatment of rectal cancer" @default.
- W3031635067 doi "https://doi.org/10.3760/cma.j.issn.1006-9801.2016.10.007" @default.
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