腹腔镜手术与传统开放手术治疗左半结肠癌的疗效比较

Comparison of the effects of laparoscopy and traditional open surgery in the treatment of left colon cancer

目的 比较腹腔镜手术与传统开放手术治疗左半结肠癌的临床疗效.方法 采用简单随机化法将58例左半结肠癌患者随机分为对照组27例和治疗组31例,对照组采用传统开放手术治疗;治疗组采用腹腔镜技术进行手术.观察和比较两组的手术时间、术中出血量、术后镇痛时间、术后排气时间、住院天数和清扫淋巴结数.观察两组的术后并发症发生情况.结果 治疗组的术中出血量、术后镇痛时间、术后排气肘间、住院天数均少于对照组（t =0.648、0.619、0.588、0.497,均P＜0.05）;而两组的手术时间、淋巴结清扫数等差异无统计学意义（t=0.135、0.209,均P＞0.05）.对照组术后并发症发生率18.5％,治疗组术后并发症发生率9.7％,两组术后并发症发生率差异有统计学意义（x2=17.03,P ＜0.05）.结论 腹腔镜手术治疗左半结肠癌出血量低,住院天数短,并发症较少,有较高的临床推广应用价值.

Objective To compare the clinical effects of laparoscopy and traditional open surgery in the treat- ment of left colon cancerl Methods 58 patients with left colon cancer were randomly divided into the control group （27 cases） and the treatment group （31 cases）. The control group was treated by traditional open surgery, the treat- ment group was treated by laparoscopic surgel＂y. The operative time, blood loss, postoperative analgesia, postoperative exhaust time,length of hospital stay and number of lymph node dissection of the two groups were observed and com- pared. The postoperative complications were observed. Results The blood loss, postoperative analgesia, postoperative exhaust time,length of hospital stay of treatment group were less than those of the control group （t = 0. 648,0. 619, 0. 588,0. 497, all P 〈 0.05） ; while the operative time, the number of lymph nodes dissection of the two groups showed no significant differences （ t = 0. 135,0. 209, all P 〉 0. 05 ）. The incidence rate of postoperative complications of the control group was 18.5%, which was significantly higher than 9.7% of the treatment group （ X2 = 17.03, P 〈 0.05 ）. Conclusion Laparoscopic surgery in the treatment of left colon cancer has less blood loss, shorter hospital stay, fewer complications, it has high clinical application value.