结直肠癌根治术在腹腔镜下的效果观察

Observation on the effect of laparoscopic radical resection for rectal carcinoma

目的对结直肠癌根治术在腹腔镜下的临床治疗效果以及胃肠功能的影响进行分析、总结和观察。方法以近1年（2014年6月-2015年6月）在我院接受治疗的90例结直肠癌患者作为研究对象,并将其依据手术方式随机分为实验组和对照组,各45例,其中实验组患者均为采用腹腔镜下结直肠癌根治术治疗,而对照组患者则均为采取传统的开腹手术进行治疗;对比两组患者的临床治疗效果以及胃肠功能的影响。结果实验组患者的出血量、住院时间等数据明显低于对照组;实验组患者的肠鸣音恢复时间、排气时间、进食时间也明显短于对照组且差异均具有统计学意义（P〈0.05）。结论腹腔镜下结直肠癌根治术相对于传统开腹治疗有术中出血量少、创伤小、恢复快等特点,此外对胃肠功能影响较小,适合在临床上广泛使用。

Objective To analyze,summarize and observation influence surgery for colorectal cancer in the clinical effect of laparoscopic and gastrointestinal function. Methods Nearly 90 cases of colorectal cancer patients treated in our hospital for two years（ from June 2013 to June 2015） as a research object,and they were random Ly divided into experiment group and control group. The experiment group was treated by laparoscopic resection of colorectal cancer,while the control group was treated by traditional laparotomy. Compared two groups of patients with clinical effects and gastrointestinal function impacts. Results Amount of bleeding,hospital stay time,bowel sounds recovery time,exhaust time and eating time in the experimental group of patients was significantly lower than the control group. Conclusion Laparoscopic resection of colorectal cancer relative to conventional open treatment less blood loss,less trauma,quicker recovery,etc.,in addition to a smaller impact on gastrointestinal function. It＇s suitable for widespread use in clinical practice.