摘要
目的探讨并分析腹腔镜下结直肠癌微创手术的临床疗效及对患者胃肠功能的影响。方法选取我院2015年11月~2018年10月期间接受外科治疗的90例结直肠癌患者作为研究对象,采用奇偶抽签分组法将患者分为对照组(常规开腹手术治疗)和观察组(腹腔镜下微创手术治疗),每组各45例。比较两组患者的临床疗效及胃肠功能恢复情况。结果观察组患者手术时间为(79.31±12.67)min,明显短于对照组的(110.21±12.89)min,差异有统计学意义(P<0.05);观察组患者术中出血量为(62.79±11.58)mL,明显少于对照组的(90.58±12.55)mL,差异有统计学意义(P<0.05);观察组患者术后进流食时间、术后进普食时间、下床活动时间及肛门排气时间分别为(2.46±0.44)d、(3.48±0.71)d、(2.67±0.26)d和(2.24±0.26)d,显著优于对照组,差异均有统计学意义(P均<0.05);同时,观察组患者吻合瘘、肺部感染及切口感染总发生率较对照组更低(4.44%vs17.78%)(P<0.05)。结论腹腔镜下结直肠癌微创手术具有手术创伤小,手术失血少,术后身体功能恢复快,住院时间更短,并发症、病亡率更低等优点,值得在今后的临床工作中推广应用。
Objective To investigate and analyze the clinical efficacy of laparoscopic minimally invasive surgery of colorectal cancer and its effect on gastrointestinal function.Methods Ninety patients with colorectal cancer who underwent surgical treatment were enrolled in the studyfrom November 2015 to October 2018.They were divided into the control group(received conventional open surgery)and the observation group(received laparoscopic minimally invasive surgery)by the odd-even grouping method,with 45 cases in each group.The clinical efficacy and recovery of gastrointestinal function were compared between the two groups.Results The operation time in the observation group was(79.31±12.67)min,which was obviously shorter than that in the control group(110.21±12.89)min,and the difference was statistically significant(P<0.05).The intraoperative blood loss in the observation group was(62.79±11.58)mL,which was less than that in the control group(90.58±12.55)mL,and the difference was statistically significant(P<0.05).The feeding time,postoperative feeding time,getting out of bed and anal exhaust time in the observation group were(2.46±0.44)d,(3.48±0.71)d,(2.67±0.26)d and(2.24±0.26)d,respectively.They were significantly better than those in the control group,and the difference were statistically significant(P<0.05).At the same time,the total incidence of anastomotic,pulmonary infection and incision infection were lower in the observation group than those in the control group(4.44%vs 17.78%),(P<0.05).Conclusion Laparoscopic minimally invasive surgery of colorectal cancer has the advantages of small surgical trauma,less blood loss,quick recovery of physical function,shorter hospital stay,lower complications and lower mortality rate,and it is worthy to be popularized and applied in the future clinical work.
作者
赖剑
曾祥福
LAI Jian;ZENG Xiangfu(Ward 2 of Department of General Sugery,the Second Affiliated Hospital of Gannan MedicalCollege,Ganzhou 341000,China)
出处
《中国现代医生》
2019年第24期107-109,共3页
China Modern Doctor
关键词
结直肠癌
微创手术
腹腔镜
开腹
Colorectal cancer
Minimally invasive surgery
Laparoscopy
Open surgery
