腹腔镜手术和传统开腹手术治疗结肠癌的短期临床疗效观察

Study of the short term therapeutic effect of laparoscopic and open surgery for colon cancer

目的研究腹腔镜下手术和传统开腹手术治疗结肠癌的短期临床疗效。方法对2014年1月至2015年1月于本院行腹腔镜下手术治疗的40例患者与传统开腹手术治疗的40例患者的临床资料进行回顾性分析,比较两组患者手术与术后情况,对比术后1年两组患者的复发率、转移率及生存率等。结果腹腔镜组和开腹组均无术后并发症和术后死亡发生,腹腔镜组切口长度及术中出血量明显小于开腹组(P<0.05),术后下床活动时间、术后镇痛时间、术后住院时间、排气时间明显短于开腹组(P<0.05),两组手术时间、清除淋巴结数目差异无统计学意义(P>0.05);两组患者在局部复发及总生存率方面对比无明显差异,不具有统计学意义(P>0.05)。结论腹腔镜下手术治疗结肠癌安全可行,具有创伤小、出血少、恢复快等优点,不会增加结肠癌的复发率。

Objective To study the short term therapeutic effect of laparoscopic and open surgery for colon cancer. Methods The clinical data of 40 cases underwent laparoscopic and 40 cases underwent open surgery from January 2014 to January 2015 was retrospectively analyzed, comparison of two groups of patients with postoperative 1 years recurrence rate, metastasis rate and survival rate. Results Among 40 patents in laparoscope group and 40 patients in belly opening up group, no one died or with complications from the operation, slash length and hemorrhage in the laparoscope group was less than the other group （P〈0.05）,off bed time, postoperative analgesia, days in hospital and purge gas time after operation in the laparoscope group were also less than those in belly opening up group （P〈0.05）; There were no differences on survival time, lymph node elimination number between the two groups （P〉0.05）; There was no significant difference in local recurrence and overall survival rate between the two groups, which was not statistically significant （P〉0.05）. Conclusion Laparoscopic surgery is safe and feasible, and has the advantages of less trauma, less bleeding, faster recovery and so on, which will not increase the recurrence rate of colon cancer.