开腹结肠癌根治术与腹腔镜结肠癌根治术的临床效果观察

Clinical effect of open radical operation and laparoscopic radical resection on colon cancer

目的分析开腹结肠癌根治术与腹腔镜结肠癌根治术对结肠癌的临床效果。方法回顾性分析我院2013年1月至2016年1月收治的80例结肠癌患者的临床资料,根据手术方式不同将其分为研究组(40例)与对照组(40例)。对照组患者行开腹结肠癌根治术,研究组患者行腹腔镜结肠癌根治术,对比两组结肠癌患者的手术情况与并发症发生率。结果两组结肠癌患者的淋巴结清扫数、手术时间以及并发症总发生率比较,差异无统计学意义(P>0.05);研究组40例结肠癌患者的术中出血量、住院时间以及术后排气时间均显著少于对照组,差异有统计学意义(P<0.05)。结论腹腔镜结肠癌根治术应用于结肠癌治疗中的临床效果优于开腹结肠癌根治术,值得在临床治疗工作中推广运用。

Objective To analyze the clinical effect of open radical operation and laparoscopic radical resection on patient with colon cancer. Methods Eighty cases of patients with colon cancer admitted in our hospital from January 2013 to January 2016 were selected and divided into study group （40 cases） and control group （40 cases） according to the different surgical methods. The control group was treated with open radical operation, the study group received laparoscopic radical resection of colorectal cancer. The operation situation and incidence of complications between the two groups were compared. Results There was no statistically significant difference in the number of lymph node cleaning, operation time and total complication rate between two groups （P〉O.05）. The intraoperatve blood loss, hospitalization time and postoperative exhaust time of the observation group were statistically less than those of the control group, the differences were statistically significant （P〈0.05）. Conclusion The clinical effect of laparoscopie radical resection on colon cancer is better than the open radical operation, which is worth to be popularized and applied in clinical treatment.