【摘要】 目的 探索腹腔镜手术治疗直肠癌的临床疗效及安全性。方法 60例直肠癌患者按不同手术方案随机分为观察组(腹腔镜手术治疗)36例和对照组(开腹手术治疗)24例， 术后随访1年， 对患者术中各项指标及术后并发症实施观察并记录， 并进行分析比较。结果 观察组手术用时长于对照组(P<0.05)；观察组术中出血量、术后肛门首次排气时间及术后住院时间均优于对照组(P<0.05)；观察组的术后伤口感染及吻合口瘘发生率明显低于对照组， 差异有统计学意义(P<0.05)， 观察组并发症的总发生率明显低于对照组， 差异有统计学意义(P<0.05)。结论 腹腔镜用于治疗直肠癌术中出血少， 术后恢复快， 且并发症少， 值得临床推广。

    【关键词】 腹腔镜手术；直肠癌；开腹手术

    【Abstract】 Objective To explore the clinical effect and safety of laparoscopic surgery in the treatment of rectal cancer. Methods A total of 60 patients with rectal cancer were divided by different surgical methods into observation group (laparoscopic surgery treatment) with 36 cases and control group (laparotomy treatment) with 24 cases. Follow-up lasted for 1 year after operation. Observation and records were made on intraoperative indexes and postoperative complications for analysis and comparison. Results Operation time was longer in the observation group than in the control group (P<0.05). The observation group had better intraoperative bleeding volume ......