腹腔镜下根治术治疗结肠癌的疗效观察

Observation on the efficacy of laparoscopic radical resection in the treatment of colon cancer

目的探究腹腔镜下根治术治疗结肠癌的临床疗效。方法90例结肠癌患者为研究对象,依据随机法分为观察组与对照组,各45例。对照组采用开腹结肠癌根治术治疗,观察组采用腹腔镜下根治术治疗。比较两组患者临床指标、术后并发症发生情况及术后1年生存情况。结果观察组术后并发症发生率6.67%低于对照组的22.22%,差异有统计学意义(P<0.05)。观察组术中出血量(138.30±20.50)ml少于对照组的(185.50±25.50)ml,术后肠鸣音恢复时间(2.10±0.50)d、术后排气恢复时间(3.20±0.80)h、术后进食恢复时间(1.30±0.50)d均短于对照组(3.80±0.80)d、(4.80±1.20)h、(2.20±0.80)d,差异有统计学意义(P<0.05)。结论采用腹腔镜下根治术治疗结肠癌效果显著,手术创伤小、并发症发生率低且患者术后恢复快。

Objective To investigate the clinical efficacy of laparoscopic radical resection in the treatment of colon cancer.Methods A total of 90 cases of colon cancer patients were selected as the research subjects,and the patients were randomly divided into the observation group and the control group,with 45 cases in each group.The control group was treated with open radical resection for colorectal cancer,and the observation group was treated with laparoscopic radical resection.The clinical indicators,occurrence of postoperative complications and 1-year survival were compared between the two groups.Results The postoperative complication rate 6.67% in the observation group was lower than 22.22% in the control group,and the difference was statistically significant(P<0.05).In the observation group,the intraoperative blood loss(138.30±20.50)ml was less than(185.50±25.50)ml in the control group;the recovery time of postoperative bowel sound(2.10±0.50)d,recovery time of postoperative exhaust(3.20±0.80)h,and recovery time of postoperative eating(1.30±0.50)d were shorter than(3.80±0.80)d,(4.80±1.20)h and(2.20±0.80)d in the control group;all the differences were statistically significant(P<0.05).Conclusion Laparoscopic radical resection is effective in the treatment of colon cancer,with little surgical damage,fewer complications and quick postoperative recovery.