腹腔镜结肠癌根治术与传统开腹结肠癌根治术的临床对比分析

Clinical Contrastive Analysis of Laparoscopic Radical Operation and Open Surgery in the Treatment of Colorectal Cancer

目的:探讨腹腔镜结肠癌根治术与传统开腹结肠癌根治术疗效的差别。方法:随机将86例结肠癌患者分为两组,各43例。腹腔镜组采用腹腔镜结肠癌根治术,传统开腹组采用开腹结肠癌根治术,观察两组患者手术情况及术后并发症情况。结果:腹腔镜组手术时间、淋巴结清扫数与传统开腹组比较无显著差异(P>0.05);腹腔镜组术中出血量少于传统开腹组、住院时间短于传统开腹组(P<0.05);腹腔镜组排气时间短于传统开腹组(P<0.01),两组并发症发生率差异有统计学意义(P<0.01)。结论:腹腔镜结肠癌根治术具有术中出血量少、创伤小、术后恢复快、住院时间明显缩短等特点,可达到传统开腹手术的效果,值得广泛应用。

Objective： To compare the effect of laparoscopic radical operation and that of traditional operation on colorectal cancer. Methods： 86 cases of patients with colon cancer were randomly divided into laparoscopic group （43 patients）, which were treated with laparoscopic radical operation and open surgery group （43 patients） which were treated with open surgery, operation situation and postoperative complications in both groups were observated. Results： The operation time and number of lymph nodes dissected of the patients in both groups had no statistical differences （P〉0.05）. The intraoperative blood loss, average stay length and postoperative exhaust time in the laparoscopic radical operation group were significantly lower and shorter than those of the patients in the open surgery group （P〈0.05）. There was a statistical difference in the complications incidence of the patients in both groups （P〈0.01）. Conclusion： Laparoscopic radical operation has the characteristics of less blood loss, small trauma, quick recovery, short hospitalization time and has the same operative effects as the traditional open operation. It is worth wide application.