开腹手术与腹腔镜对结肠癌患者术中出血量、术后进食时间及远期疗效对比的研究

Comparative study of blood loss,postoperative feeding time and long term outcome between open surgery and laparoscopic surgery for colon cancer patients

目的比较开腹手术与腹腔镜对结肠癌患者的术中出血量、术后进食时间及远期疗效。方法将我院收治的58例结肠癌患者随机平均分为腹腔镜组和开腹手术组。比较两组患者术中出血量、手术时间、术后进食时间及住院时间。观察围手术期患者并发症的发生情况,同时观察患者治疗后1年、2年的生存率及复发率。结果治疗后,腹腔镜组术中出血量、术后进食时间及住院时间均明显少于开腹手术组(P<0.05),并发症发生率及复发率则均明显低于对照组(P<0.05)。治疗后1年、2年腹腔镜组的生存率均明显高于对照组(P<0.05)。结论与开腹手术相比,腹腔镜手术治疗结肠癌患者创伤小,恢复较快,且远期疗效更优,值得进行深入研究。

Objective To compare the blood loss, postoperative feeding time and long term outcome between open surgery and laparoscopic surgery for colon cancer patients.Methods 58 cases were chosen to be studied and divided into laparoscopic group and open surgery group. After the treatment, the intraoperatie blood losses, operation time and postoperative hospitalization time and complication in the two groups were observed. The 1 year, 2 years survival rates and the recurrence rate in the two groups were observed. Results After treatment, the intraoperatie blood losses, eating time, postoperative hospitalization time and rates of complication in the laparoscopic group were significantly lower than those in the open surgery group （P〈0.05）. The 1 years and 2 years survival rates in the laparoscopic group were significantly higher than those in the open surgery group （P〈 0.05 ）. Conclusions In the comparison of open surgery and laparoscopic surgery in the treatment of colon cancer, laparoscopic is a more effective with less bleeding, faster recovery and a better long time survival.