腹腔镜与开腹手术治疗结直肠癌术后肠梗阻的对比研究

The comparative study of postoperative ileus of laparoscopic surgery versus open surgery for colorectal cancer

目的对比研究腹腔镜与开腹手术治疗结直肠癌术后肠梗阻的效果。方法选取220例自2009年10月至2012年6月重庆市渝北区人民医院收治的结直肠癌患者,将其分为观察组(n=110)和对照组(n=110),观察组患者实施腹腔镜下结直肠癌手术,对照组患者实施常规开腹手术,观察对比两组患者术后肛门排气时间、住院天数和肠梗阻的发生率。结果观察组患者左半结肠癌根治术后、右半结肠癌根治术后以及直肠癌根治术后肛门排气时间和住院天数均显著少于对照组,差异有统计学意义(P<0.05);观察组患者术后肠梗阻的发生率为5.45%(6/110),显著低于对照组的11.82%(13/110),差异具有统计学意义(P<0.05)。结论腹腔镜下结直肠癌手术是一种微创手术,对患者的创伤小,术后恢复快,肠梗阻的发生率较常规开腹手术小。

Objective To study the effect of postoperative ileus of laparoscopic surgery versus open surgery for colorectal canc-er .Methods 220 patients of colorectal cancer were selected from October 2009 to June 2012 .The patients were randomly divided into the observation group（n=110 cases） and the control group（n=110 cases） .The patients of the observation group were treated with laparoscopic surgery ,and the patients of the control group were treated with conventional open surgery .The postoperative anal exhaust time and hospital stay time ,the incidence of postoperative ileus of the two groups were observed and compared .Results The postoperative anal exhaust time and hospital stay time of the patients after radical resection of left colon ,right colon and rectal cancer of the observation group were significantly less than that of the control group （P＆lt;0 .05） .The incidence of postoperative ileus of the observation group was 5 .45% （6/110 ） ,significantly lower than 11 .82% （13/110 ） of the control group （ P＆lt; 0 .05 ） . Conclusion Laparoscopic colorectal surgery is a minimally invasive surgery ,the patient′s trauma is smaller ,the postoperative re-covery is rapidly .The incidence of intestinal obstruction is smaller than that of the conventional open surgery .