腹腔镜结直肠癌根治术的临床分析

Clinical analysis of laparoscopic radical operation in 50 cases with colorectal cancer

目的分析腹腔镜结直肠癌根治术的临床效果。方法随机选取本院2010年9月～2012年9月收治的50例结直肠癌患者，随机分成观察组与对照组，观察组患者采用腹腔镜下根治术治疗．对照组采用开腹结直肠癌根治术治疗，对比两组治疗效果。结果两组均未出现死亡及严重并发症，观察组患者术后进食时间、住院时间、术后镇痛率、术中失血量均明显优于对照组，差异有统计学意义（P〈0.05），观察组淋巴结切除数及并发症发生率与对照组比较，差异无统计学意义（P〉0.05）。结论腹腔镜根治术治疗结直肠癌具有安全可靠、术后恢复快、创伤小等优势，值得临床推广。

Objective To analyze the therapeutic effect of laparoscopic radical operation for colorectal cancer. Methods 50 patients with colorectal cancer admitted into our hospital from September 2010 to September 2012 were ran- domly selected and divided into observation group and control group. In the observation group, the laparoscopic radical operation was applied, while the control group was given colorectal cancer laparotomy. The therapeutic effect in both groups was compared. Results There was no death or severe complications in both groups. The postoperative feeding time, hospital stay, postoperative analgesia rate, and intraoperative blood loss in the observation group were all superior to those in the control group with statistical differences （P〈0.05）. There was no significant difference in the number of lymph node excision and incidence of complication between two groups （/：＇〉0.05）. Conclusion Laparoscopic radical operation in patients with colorectal cancer has many advantages such as high safety and reliability, quick recovery after surgery, and small wound, which is worthy of expansion in clinic.