开腹手术与腹腔镜手术治疗结直肠癌的临床疗效

Clinical effect of laparotomy and laparoscopic surgery treated on colorectal cancer

目的探讨开腹手术与腹腔镜辅助治疗结直肠癌的临床疗效。方法选取景德镇市第一人民医院2012年10月—2015年6月收治的结直肠癌患者150例,随机分为开腹组(n=77)和腹腔镜组(n=73)。开腹组患者采取传统开腹手术治疗,腹腔镜组患者采取腹腔镜术治疗。比较两组患者的复发、转移情况及并发症发生情况。结果两组患者局部转移率及复发率比较,差异无统计学意义(P>0.05)。腹腔镜组患者粘连性肠梗阻发生率低于开腹组(P<0.05)。两组患者切口疝、切口种植发生率比较,差异无统计学意义(P>0.05)。结论开腹手术与腹腔镜手术治疗结直肠癌患者的局部转移及复发情况相当,但腹腔镜术治疗可降低粘连性肠梗阻发生风险,提高患者的生活质量。

Objective To investigate the clinical effect of laparotomy and laparoscopic surgery treated on colorectal cancer. Methods A total of 150 cases of colorectal cancer patients were selected from October 2012 to June 2015 in Jingdezhen People＇s Hospital NO. 1,which were randomly divided into laparotomy group（ n = 77） and laparoscopic group（ n = 73）. Laparotomy group was treated with laparotomy,laparoscopic group was treated with laparoscopic surgery. The recurrence,metastasis and the incidence of complications were compared between the two groups. Results No statistically significant differences of recurrence rate or metastasis rate was found between the two groups（ P〈0. 05）. The rate of adhesive intestinal obstruction of laparoscopic group was lower than laparotomy group（ P〈0. 05）,no statistically significant differences of incisional hernia rate or incision planting rate was found between the two groups（ P〈0. 05）. Conclusion Laparotomy has a same recurrence,metastasis with laparoscopic surgery treated on colorectal cancer,but laparoscopic surgery can reduce the incidence of adhesive intestinal obstruction to some extent,and it can improve the quality of life.