腹腔镜与开腹结肠癌根治术术后并发症的差异

Differences of Complication rate between laparoscopic and open radical resection for colon carcinoma

目的研究腹腔镜与开腹结肠癌根治术患者术后并发症的差异。方法回顾性研究2004年1月至2009年12月由同一组医师连续实施的200例成功的腹腔镜结肠癌根治术(腹腔镜组)与277例开腹结肠癌根治术(开腹组)患者术后并发症的差异。结果腹腔镜手术组与开腹手术组术后并发症中肠梗阻分别为3.5%与6.5%(χ2=2.102,P>0.05);吻合口瘘分别为2.0%与3.0%(χ2=0.089,P>0.05);吻合口出血分别为5.8%与3.5%(χ2=1.064,P>0.05);肺部感染分别为7.0%与9.0%(χ2=0.635P>0.05);切口感染分别为5.5%与14.1%(χ2=9.111,P<0.05)。两组术后排气时间分别为(43.6±39.5)h与(64.2±39.0)h(P<0.05),术后住院时间分别为(9.3±2.7)h与(12.7±2.4)h(P<0.01)。结论腹腔镜组术后切口感染发生率明显低于开腹手术组,且排气时间和住院时间较开腹手术组明显缩短。

Objective To compare the complication rate between laparoscopic and open radical resec- tion for colon carcinoma. Methods From January 2004 to December 2009,200 cases with colon carcinoma re- ceived radical laparoscopic operation（LP） and 277 cases with colon carcinoma received open radical operation （OP）. The post-operative complication rate were compared between the tow groups. Results There were no differences in post-operative intestinal obstruction（x2 = 2. 102 ,P 〉 0. 05 ）, anastomotic stoma leak（x2 = 0. 089, P 〉 0. 05 ） , stoma bleeding（x2 = 1. 064, P 〉 0. 05 ） , pulmonary infection （X2 = 0. 635 P 〉 0.05 ） between LP 2 and OP groups. There were differences m mmslon mfectxon （X = 9. 111, P 〈 0. 05 ） , gastrointestinal function re- covery time （ P 〈 0.05 ） , hospitalized time （ P 〈 0. 01 ） between LP and OP groups. Conclusion The incision infection rate is significantly lower in LP group than that in OP group. The gastrointestinal function recovery time and hospitalized time are significantly shorter in LP group than that in OP group.