腹腔镜手术与开腹手术治疗结肠癌的疗效比较

The Comparison of Laparoscopic and Open Surgery in the Treatment of Colon Cancer

目的比较腹腔镜手术与开腹手术治疗结肠癌的疗效。方法 72例结肠癌患者随机分成腹腔镜组37例和开腹组35例。观察两组患者的手术时间、切口长度、术中出血量、术后住院时间,并以肛门恢复排气时间作为胃肠功能恢复的指标,监测患者术后并发症的情况。结果腹腔镜组患者平均手术时间较开腹组有明显增长,为(221.6±37.2)min vs.(150.9±27.8)min(P<0.05),而切口长度、术中出血量、肛门恢复排气时间、术后住院时间均优于开腹组,分别为(5.78±0.61)cm vs.(18.74±2.30)cm,(48.6±31.5)ml vs.(129.0±78.9)ml,(21.73±8.91)h vs.(67.32±12.84)h,(5.89±1.53)d vs.(12.62±2.45)d(P<0.05)。腹腔镜组并发症发生率为5.40%(2/37),明显低于开腹组的31.43%(11/35)(P<0.05)。结论腹腔镜手术治疗结肠癌具有创伤小、恢复快等优点,是一种安全有效的手术方法。

Objective To compare the laparoscopic and open surgery in the treatment of colon cancer treatment. Methods 72 cases of colorectal cancer patients were randomly divided into laparoscopic group （37 cases） and laparotomy group （35 cases ）. The operating time, incision length, volume of intraoperative bleeding, length of postoperative hospital stay and the postoperative complications was recorded. And the anal exhaust time was used as an indicator of the recovery of gastrointestinal function. Results The average oper± ation time of laparoscopic group was significantly increased than the laparotomy group, that was （221.6 ± 37.2 ） minutes vs. （ 150.9 ± 27.8） minutes （P 〈 0.05 ）. The length of incisions, the intraoperative blood loss, the length of intestinal exhaust time and the postoperative hospitalization time was better than open surgery group, that was （5.78 ±0.61）cm vs. （18.74 ±2.30） cm,（48.6 ±31.5）ml vs. （129.0 ±78.9） ml,（21.73 ±8.91）h vs. （67.32 ±12.84） hand（5.89±l.53）dvs. （12.62±2.45）d （P〈0.05）. The complication rate of laparoscopic group was 5.40% （2/37） , which was significantly lower than the open group 31.43% （11/35 ） （P 〈 0.05 ）. Conclusion It is a safe and effective method of laparoscopic surgery for colon cancer with advantazes of mini trauma, quick recovery, and etc.