腹腔镜手术与开腹手术治疗结直肠癌的临床疗效比较

Comparison of the clinical efficacy between laparoscopic and open surgery in the treatment of colorectal cancer

目的比较腹腔镜手术与开腹手术治疗结直肠癌患者的临床疗效。方法选取2012-02~2015-10该院收治的结直肠癌患者76例,根据手术方式的不同分为腹腔镜组(n=39)和开腹组(n=37)。腹腔镜组采用腹腔镜手术治疗,开腹组采用传统开腹手术治疗,比较两组患者切口长度、手术时间、术中失血量、术后肛门排气时间、开始进流食时间、下床活动时间、住院时间、淋巴结清扫数目以及术后并发症发生情况。结果腹腔镜组切口长度、术中失血量、术后肛门排气时间、开始进流食时间、下床活动时间、住院时间均明显小于或低于开腹组,差异有统计学意义(P<0.05),两组淋巴结清扫数目比较差异无统计学意义(P>0.05)。腹腔镜组并发症发生率为7.69%(3/39),开腹组为27.03%(10/37),差异有统计学意义(P<0.05)。结论腹腔镜下结直肠癌手术具有安全、创伤小、恢复快、并发症少等优点。

Objective To compare the clinical efficacy between laparoscopic and open surgery in the treatment of colorectal cancer. Methods Seventy-six patients with colorectal cancer were divided into the laparoscopy group（ n = 39） and the open surgery group（ n = 37） according to different surgical methods. Thirty-nine patients undergoing laparoscopic surgery were collected as the laparoscopy group,and other thirty-seven patients who were treated with open surgery were taken as the open surgery group. The length of incision,the operation time,the amount of intraoperative bleeding,the postoperative anal exhaust time,the time of starting liquid diets intake,the time of early ambulation,the hospital stay,the number of lymph nodes resected and the complications were compared between the two groups. Results The length of incision,the operation time,the postoperative anal exhaust time,the time of starting liquid diets intake,the time of early ambulation and the hospital stay were significantly shorter and the the amount of intraoperative bleeding was significantly less in the laparoscopic group than those in the open surgery group（ P〈0. 05）. There was no significant difference between the two groups in the number of lymph nodes resected（ P〈0. 05）. The incidence of complications in the laparoscopic group was significantly lower than that in the open surgery group（ 7. 69% vs 27. 03%）（ P〈0. 05）. Conclusion Laparoscopic radical surgery is safe and effective in the treatment of colorectal cancer.