摘要
目的对比分析腹腔镜与开腹手术治疗结直肠癌的近期疗效。方法收集本院2011年1月~2012年4月我院收治的结直肠癌患者118例,分为研究组和对照组各59例,研究组患者实施腹腔镜手术,对照组实施开腹手术,比较两组的临床疗效。结果研究组术中出血量少于对照组,肠道功能恢复时间、住院时间均短于对照组,手术时间长于对照组,两组差异有统计学意义（P〈0.05）。研究组手术前期、手术后期及总的淋巴结清扫数、3年生存率与对照组比较差异无统计学意义（P〉0.05）。研究组术后并发症发生率、肿瘤复发率均低于对照组,两组差异有统计学意义（P〈0.05）。结论腹腔镜手术治疗结直肠癌疗效确切,在肿瘤淋巴结清扫效果方面与开腹手术相近,腹腔镜手术可降低出血量,术后快速恢复,并发症发生率及肿瘤复发率均较低,值得临床推广应用。
Objective To compare the short-term effect of laparoscopic and open surgery for colorectal cancer. Methods 118 cases with colorectal cancer were selected from January 2011 to April 2012 patients in our hospital and were divided into two groups, the study group and the control group had 59 cases. The study group given laparoscopic surgery, the control group to implemented laparotomy, the clinical efficacy of two groups were compared. Results The blood loss of the study group was less than the control group, bowel function recovery time, hospital stays time were shorter than the control group, the operation time was longer than the control group, the difference was statistically sig- nificant （P〈0.05）. Pre-operative research, post and the total number of surgical lymph node dissection, and 3-year sur- vival rate of the study group compared with the control group had no significant difference （P〉0.05）. The incidence of postoperative complications, recurrence rates of the study group were lower than the control group, the difference was statistically significant（P〈0.05）. Conclusion Laparoscopic treatment of colorectal cancer is effective, the effect of the tumor and lymph node dissection similar to open surgery, laparoscopic surgery can reduce the amount of bleeding, rapid postoperative recovery, low complication rate and recurrence rates, worthy application.
出处
《中国现代医生》
2015年第21期42-44,共3页
China Modern Doctor
关键词
结直肠癌
腹腔镜
开腹手术
Colorectal cancer
Laparoscopic
Laparotomy
