摘要
目的比较传统开腹手术和腹腔镜手术治疗结肠癌的疗效及预后。方法回顾性分析92例结肠癌患者的临床资料,根据手术方式不同将患者分为腹腔镜组和传统开腹组,每组各46例。比较两组患者的术中和术后指标及预后情况。结果腹腔镜组患者的手术切口长度明显短于传统开腹组,术中出血量明显少于传统开腹组,手术时间明显长于传统开腹组,差异均有统计学意义(P﹤0.001);腹腔镜组患者的术后体温恢复时间、开始进食时间和住院时间均明显短于传统开腹组(P﹤0.001)。腹腔镜组患者的术后并发症总发生率低于传统开腹组(P﹤0.05);两组患者术后1年的局部复发率和远处转移率比较,差异均无统计学意义(P﹥0.05)。结论腹腔镜手术治疗结肠癌具有术中出血量少、创伤小、术后并发症发生率低等优点,且患者术后恢复时间短、速度快,预后效果良好,值得临床推广应用。
Objective To compare the effect and prognosis of conventional open surgery and laparoscopic surgery in the treatment for colon cancer. Method 92 patients with colon cancer that were treated with laparotomy （n=46） or laparo-scopic surgery （n=46） were retrospectively analyzed, of which the intraoperative, postoperative and prognosis-related measures were statistically analyzed. Result The incision length, intraoperative blood loss of the laparoscopic surgery group were significantly shorter and lower than the laparotomy group, while longer operative time was observed in the laparoscopic surgery group （P〈0.001）;the recovery time of body temperature, feeding time and hospital stay were signifi-cantly reduced in laparoscopic surgery group compared with laparotomy group （P〈0.001）. The incidence of postoperative complications was lower after laparoscopic surgery compared with laparotomy （P〈0.05）;though the 1-year local recur-rence rate and distant metastasis rate were similar between the two groups （P〉0.05）. Conclusion Compared with conven-tional laparotomy, the laparoscopic surgery is superior with less intraoperative blood loss, minimal incision and less post-operative complications, with shorter recovery time and better prognosis, which is worth of clinical application.
作者
高勇
李治国
GAO Yong LI Zhiguo(Department of General Surgery, Anyang People＇ s Hospital, Anyang 455000, He＇ nan, Chin)
出处
《癌症进展》
2017年第5期534-536,共3页
Oncology Progress
关键词
结肠癌
腹腔镜手术
传统开腹手术
预后
colon cancer
laparoscopic surgery
conventional open surgery
prognosis
