基层医院开展腹腔镜结直肠癌根治术的临床效果分析

Clinical analysis of laparoscopic radical resection of colorectal cancer in primary hospital

目的探讨基层医院开展腹腔镜结直肠癌根治术的可行性及安全性。方法利用随机数字表法将126例结直肠癌患者随机分为观察组和对照组,每组63例。对照组给予开腹结直肠癌根治术治疗;观察组给予腹腔镜下结直肠癌根治术治疗。比较两组患者的临床疗效。结果观察组手术时间长于对照组(P<0.05);术中出血量、肠功能恢复时间、住院时间均少于对照组(均P<0.05);术后肛门排气时间、下床活动时间、进流质饮食时间、疼痛消失时间及镇痛药剂量均少于对照组(均P<0.05);观察组并发症发生为7.94%(5/63)明显低于对照组的25.40%(16/63);两组上述指标比较,差异均有统计学意义(P<0.05)。结论在基层医院开展腹腔镜下结直肠癌根治术具有良好的可行性及安全性、可靠性,具有手术时间短、术后创伤小、出血少、恢复快、住院时间短等优势,可在基层医院大力推广应用。

Objective To explore the feasibility and safety of laparoscopic colorectal-carcinoma operation in Primary Hospital. Methods A total of 126 patients with colorectal cancer were divided into observation group and control group,63 patients in each group. The control group were underwent traditional laparotomy. The observation group were underwent laparoscopic radical surgery. The clinical curative effect of the two groups were compared. Results The operative time of the observation group was less than that of the control group（ P 0. 05）. The intraoperative blood loss,postoperative intestinal function recovery time,the average hospital stay of the observation group was less than those of the control group（ P 0. 05）. The anal exsufflation time,average time of off-bed,eat liquid food time,tenderness duration,the analgesic dose of the observation group was less than those of the control group（ P 0. 05）. The incidence of complications of the observation group was 7. 94%,the control group was 25. 40%,the difference was statistically significant（ P 0. 05）. Conclusion Colorectal cancer undergo laparoscopic radical surgery is feasible,safe and reliable. This method can reduce the operative duration,trauma,blood loss,average hospital stay. It ＇s an efficacious minimally invasive surgery. It can be promoted in primary hospital.