摘要
目的对比分析就结直肠癌患者运用腹腔镜手术与开腹结直肠癌根治术的效果及安全性。方法将2012年2月-2019年8月间该院收治的60例结直肠癌患者作为研究对象。基于对象及家属自愿的原则上予以均分并成立研究及参照两组,每组30例对象。参照组采用开腹结直肠癌根治术治疗,研究组则给予腹腔镜手术治疗。统计对比两组对象各项手术相关指标(手术时间、术中出血量、排气时间、肠胃功能恢复时间、淋巴结消除数、住院时间)及术后并发症发生情况。结果研究组手术时间(156.2±15.4)min、术中出血量(69.4±8.3)mL、排气时间(2.2±0.3)d、肠胃功能恢复时间(2.1±0.4)d、淋巴结消除数(21.7±3.2)枚、住院时间(12.8±2.3)d均显著优于参照组[(187.6±21.3)min、(180.5±26.5)mL、(3.7±0.5)d、(3.7±0.5)d、(13.5±2.5)枚、(19.8±2.8)d](t=11.174、73.576、27.273、21.918、14.041、16.667);且该组术后并发症发生率6.67%明显低于参照组36.67%(χ^2=3.977),各项对比结果差异有统计学意义(P<0.05)。结论针对结直肠癌患者运用腹腔镜手术治疗,相比于传统的开腹手术,具有高效、安全、并发症少的显著临床优势,值得广泛运用。
Objective To compare the efficacy and safety of laparoscopic surgery and open radical colorectal cancer in patients with colorectal cancer. Methods Sixty patients with colorectal cancer admitted to the hospital from February 2012 to August 2019 were included in the study. Based on the voluntary participation of the subject and the family members, the research and reference groups were established and 30 subjects in each group. The reference group was treated with open radical resection for colorectal cancer, and the study group was treated with laparoscopic surgery. Statistical comparisons were made between the two groups of surgical related indicators(operative time, bleeding volume, exhaust time, recovery time of gastrointestinal function, number of lymph node elimination,length of hospital stay) and postoperative complications. Results The operation time of the study group(156.2 ±15.4)min, blood loss(69.4±8.3)mL, exhaustion time(2.2±0.3)d, gastrointestinal function recovery time(2.1±0.4)d, lymph node elimination(21.7±3.2), hospitalization time(12.8±2.3)d were significantly better than the reference group[(187.6±21.3)min;(180.5±26.5)mL;(3.7±0.5)d;(3.7±0.5)d;(13.5 ±2.5);(19.8 ±2.8)d](t =11.174,73.576,27.273,21.918,14.041,16.667), The incidence of postoperative complications in this group 6.67% was significantly lower than that of the reference group 36.67%(χ^2=3.977), and the comparison results were statistically significant(P<0.05). Conclusion Laparoscopic surgery for patients with colorectal cancer has significant clinical advantages, such as high efficiency, safety and less complications, compared with traditional open surgery. It is worthy of extensive application.
作者
单海峰
顾卫红
江强
季新荣
陈小建
SHAN Hai-feng;GU Wei-hong;JIANG Qiang;JI Xin-rong;CHEN Xiao-jian(Department of General Surgery,Tongzhou District People's Hospital,Nantong,Jiangsu Province,226300 China)
出处
《世界复合医学》
2019年第12期53-55,共3页
World Journal of Complex Medicine
关键词
结直肠癌
腹腔镜手术
开腹结直肠癌根治术
临床疗效
手术安全性
Colorectal cancer
Laparoscopic surgery
Radical surgery for colorectal cancer
Clinical efficacy
Surgical safety
