腹腔镜下结肠癌切除术治疗高危结肠癌的临床价值

Clinical value of laparoscopic colectomy in the treatment of colonic cancer in high-risk patients

目的探讨腹腔镜下结肠癌切除术应用于高危结肠癌患者治疗的价值。方法以我院2011年1月至2013年1月间收治的50例高危结肠癌患者为研究对象,随机将其分为观察组与对照组各25例,观察组行腹腔镜下结肠癌切除术,对照组行传统开腹手术。比较两组患者手术效果、术后恢复情况、并发症发生率及卫生经济学指标间的差异。结果观察组患者手术效果、治疗费用与对照组比较差异无统计学意义(P>0.05),观察组患者手术时间、术中出血量、术后住院时间少于对照组,术后恢复情况优于对照组,其差异均有统计学意义(P<0.05)。结论腹腔镜可以在高危结肠癌患者切除术中起到良好作用,其在保证手术效果的情况下,创伤更小、患者术后恢复更快、并发症发生风险更低。

Objective To analyse the effect of laparoscopic colectomy in the treatment of colonic cancer in high-risk patients. Methods Fifty patients with high-risk colonic cancer were divided into observe group and control group. The laparoscopic was used in the observe group, and the control group used laparotomy. The two groups were compared with each other in clinical effect, postoperative recovery, complications and health economics indicators.Results There was no significant different between the two groups at clinical effect and the cost of treatment（P〉0.05）. The complications and the hospitalization days of the observe group were significantly less than that of the control group（P〈0.05）. The postoperative recovery degree of the observe group was significantly better than that of the control group（P〈0.05）. Conclusion Laparoscopic colectomy will bring a satisfactory effect in the treatment of high-risk patients with colonic cancer, with the same clinical effect, better postoperative recovery degree and less complications.