腹腔镜结肠癌根治术与开腹手术的对比分析

Comparative analysis of laparoscopic colon cancer surgery and laparotomy

目的探讨腹腔镜根治术治疗Ⅱ、Ⅲ期结肠癌的临床效果。方法 52例结肠癌患者被随机分为开腹组和腹腔镜组各26例。开腹组行传统开腹结肠癌根治术,腹腔镜组实施腹腔镜下根治术。比较两组手术效果、术后恢复情况、生存率、复发率及并发症的差别。结果腹腔镜组手术时间明显长于开腹组,但术中出血量、术后排气时间、肠鸣音恢复时间、平均下床活动时间及平均住院时间均显著少于开腹组。两组切口感染、切口疝及肺部感染发生率差异无统计学意义,但腹腔镜组粘连性肠梗阻发生率显著低于开腹组。结论腹腔镜根治术治疗Ⅱ、Ⅲ期结肠癌临床疗效与开腹手术相当,但对机体损伤小、出血非常少,术后胃肠道功能恢复快,很少出现术后肠粘连等并发症。

Objective To explore the clinical effects of stage Ⅱ ～ Ⅲ colon cancer treated by Laparoscopic radical mastectomy.Methods 52 patients with colon cancer were randomly divided into laparotomy group and laparoscopic group,and each group was 26 cases.Laparotomy group underwent conventional open colon resection,while the laparoscopic group was implemented laparoscopic radical laparoscopic surgery.Surgical effects,postoperative recovery,survival rate,recurrence rate and complications were compared between the two groups.Results Laparoscopic operative time was significantly longer than the laparotomy group.The operative time of laparoscopic group was significantly longer than the laparotomy group,however,intraoperative blood loss,postoperative recovery anal discharge,average time of off-bed and hospital stay were evidently less than the laparotomy group.Between the two groups,there were no obviously differences in incidences of wound infection,incisional hernia,and lung infection.While the incidences of adhesive intestinal obstruction in the laparoscopic group were conspicuously lower than the open group.Conclusion The clinical efficacy of laparoscopic radical mastectomy is comparative with Abdominal radical hysterectomy.Laparoscopic radical mastectomy do little damage to the body,which has very little bleeding,fast postoperative recovery of gastrointestinal function,and rarely complications such as postoperative adhesions.