Objective To compare the clinical efficacy of laparoscopy-controlled abdominoperineal excision ( LCAPE) with traditional abdominoperineal excision ( APE) for the treatment of low rectal cancer .Methods Thirty-four patients with preoperative di-agnosis of low rectal cancer between January 2013 and January 2016 in our hospital were selected .Of the patients ,17 underwent LCAPE (treatment group) and another 17 patients underwent APE (control group).The surgery,postoperative recovery and complications were compared between the two groups .Results There were significant differences in average intraoperative blood loss ,intraoperative speci-men perforation rate and intestinal function recovery time between the two groups (P <0.05).However,no significant differences in the operation time , length of intestinal resection , number of cleaning lymph nodes , positive rate of circumferential resection margin (CRM),postoperative complications ,hospitalization duration and hospitalization cost were found between the two groups (P>0.05). Conclusion LCAPE in the treatment of low rectal cancer was superior to APE in an average intraoperative blood loss ,intraoperative specimen perforation rate ,and intestinal function recovery time .It has good clinical efficacy and is of worth of promotion .%目的 比较腹腔镜经腹会阴联合切除术与传统开腹手术治疗低位直肠癌的临床效果.方法 选取2013年1月至2016年1月我科收治的34例低位直肠癌患者,其中17例行腹腔镜手术(腹腔镜组),17例行传统开腹手术(开腹组),比较两组手术情况、术后恢复情况及并发症发生率等.结果 两组术中平均出血量、术中标本穿孔率、肠道功能恢复时间比较,差异有统计学意义(P<0.05).两组手术时间、肠段切除长度、清扫淋巴结数目、环周切缘阳性率、术后并发症发生率、术后住院时间及住院费用比较,差异无统计学意义(P>0.05).结论 腹腔镜经腹会阴联合切除术治疗低位直肠癌术中平均出血量、术中标本穿孔率及术后肠功能恢复时间均优于传统开腹手术,效果较好,值得临床推广应用.
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