腹腔镜外科手术治疗直肠癌的临床效果评价

Clinical Effect Assessment of the Colorectal Cancer Treating with Laparoscopic Surgery

目的:探讨腹腔镜外科手术治疗直肠癌的临床效果。方法:对笔者所在医院手术治疗的直肠癌患者的临床资料进行回顾性分析,根据手术方式的不同分为传统开腹组和腹腔镜组,比较两组患者的手术时间、术中出血量、胃肠功能恢复时间等情况。结果:所有患者均顺利完成手术,腹腔镜组患者平均手术时间略长于传统开腹组(P<0.05),术中平均出血量明显少于传统开腹组(P<0.05)。腹腔镜组患者术后镇痛时间、肛门排气时间及术后住院时间均明显短于传统开腹组,差异均有统计学意义(P<0.05)。两组术后并发症发生率、复发率、远处转移率及死亡率比较,差异均无统计学意义(P>0.05)。所有患者均无切口或穿刺口种植肿瘤转移发生。结论:腹腔镜手术治疗直肠癌同样能达到传统开腹手术的治疗效果,且能明显减少术中出血量,缩短术后镇痛、肛门排气及住院时间,减轻患者痛苦。

Objective：To explore the clinical effect of colorectal cancer treating with laparoscopic surgery.Method：Analyzed the clinical data of thc colorectal cancer treating with ]aparoscopic surgcry, compared the two group patients＇ operation time, peri- operative bleeding, recovery of gastrointestinal function of time, etc.Result：All patients were successfully completed the operation, the average time of laparoscopie surgery patients group was slightly longer than the traditional open group（P〈0.05）, and intraoperative average blood loss was obviously less than the traditional open group （P〈0.05）. The postoperative analgesia time, anus exhaust time and postoperative hospitalization time of the laparoscopic group were significantly shorter than the traditional open group（P〈0.05）.The incidence rate of postoperative complications, the recurrence rate, distant metastasis rate and mortality had no significant differences in the two groups（P〉0.05）.All of the patients had no incision or puncture mouth planting tumor transfer taken place.Conclusion： Laparoscopie surgery eoloreetal cancer can also reach the treatment effect of the traditional open surgery, can obviously reduce peri-operative bleeding, postoperative analgesia time, anal exhaust time and hospital stays, ease the pain.