腹腔镜与开腹结直肠癌根治术近期疗效对比

Analysis of Short Term Prognosis of Radical Laparoscopic and Open Colorectal Surgery for Colorectal Cancer

目的分析对比腹腔镜与开腹结直肠癌根治术的近期疗效。方法回顾性分析我院2010年1月～2013年10月收治的120例结直肠癌患者的临床资料，其中腹腔镜手术组62例，开腹手术组58例。观察对比两组患者手术时间、出血量、肠蠕动时间、平均住院时间、术后恢复情况及并发症情况，并对肿瘤根治的有效性及安全性给予分析。结果两组患者均成功完成手术，无死亡病例。腹腔镜手术组手术时间长于开腹手术组（P〈0．05）；术中出血量、术后引流量少于开腹手术组（P〈0．05）；切口长度短于开腹手术组（P〈0．05）；排气时间及住院时间短于开腹手术组（P〈0．05）。腹腔镜手术组术后并发症发生率为4．8％，明显低于开腹手术组的17．2％（P〈0．05）。结论腹腔镜根治性治疗结直肠癌是一种安全、微创、有效的手术方式，近期疗效满意，且具有创伤小、疼痛轻、恢复快、住院时间短等优点，值得临床广泛推广应用。

Objective To analyze the short term prognosis of radical laparoscopic and open colorectal sur- gery for colorectal cancer. Methods The clinical data of 120 patients with colorectal cancer in our hospital in January 2010 to October 2013 were retrospectively studied. There were 62 cases of laparoscopic operation group and 58 cases of open operation group. The operation time, bleeding volume, drainage volume, complications, intestinal peristalsis and average hospitalization time were compared between the two groups. Results All the patients were successfully completed the operation without mortality. The operation time of laparoscopic operation group was longer than that of the open operation group （P 〈 0. 05 ）. The amount of bleeding and incision length of the laparoscopic op- eration group were both less than that of the open operation group （P 〈 0.05）. The postoperative drainage volume, the exhaust stay and the hospital time were better than that of the open operation group（ P 〈0.05 ）. The compli- cation rate was 4.8% of the laparoscopic operation group, which was significantly lower than 17.2% of the open operation group （ P 〈 0.05 ）. Conclusion It is a safe, minimally invasive, and effective operation mode of the laparoscopic radical resection for colorectal cancer, and its short-term curative effect is satisfactory, and has advantages of quick recovery, which is worthy of extensive promotion and application.