腹腔镜与开腹结肠癌手术的对比研究

The clinical effect of laparoscopic operation and laparotomy for colon cancer

目的:观察腹腔镜与开腹手术治疗结肠癌的临床效果,探讨两种手术的临床实用性、安全性。方法:选取2013年4月至2014年2月收治的60例结肠癌患者为观察组,患者均行腹腔镜手术治疗;另选取2012年4月至2013年2月收治的60例开腹手术患者为对照组。比较两组患者的治疗指标、生活质量等。结果:观察组并发症总发生率低于对照组(P<0.05),术后生活质量(生理功能、心理情绪、社会功能)显著优于对照组,镇痛时间、排气时间、住院时间、出血量显著少于对照组,差异有统计学意义(P<0.001)。结论:腹腔镜结肠癌根治术临床效果较好、手术创伤小、对腹腔干扰小、肠道功能恢复快、住院时间短,可减少并发症的发生,提高患者术后生活质量,值得推广应用。

Objective： To observe the clinical effect of laparoscopic operation and laparotomy for colon cancer,and investigate the clinical practicability and safety of the two kinds of operation. Methods： Sixty patients with colon cancer from Apr. 2013 to Feb.2014 were selected as the observation group and underwent laparoscopic operation; other 60 patients from Apr. 2012 to Feb. 2013 received open operation and were selected as the control group. The treatment data and the quality of life were compared between the two groups. Results： Compared with the control group,in observation group the overall complication rate was less（ P 0. 05）,the postoperative quality of life（ physiological function,psychological emotion,social function） was better,the analgesia time,exhaust time,hospital stay,amount of bleeding were less（ P 0. 001）. Conclusions： Laparoscopic radical operation for colon cancer is not only effective,but also mini-invasive,can reduce the influence on abdominal cavity,improve the recovery of intestinal function,decrease the hospital stay and complications,and improve the quality of life. It is worthy to be popularized and applied.