腹腔镜辅助与传统开腹结直肠癌根治术的疗效和安全性比较

Comparison of efficacy and safety of laparoscope-assisted radical resection versus traditional open radical resection for colorectal cancer

目的探究腹腔镜辅助与传统开腹结直肠癌根治术治疗结直肠癌的疗效和安全性。方法选择2014年8月至2016年12月本院收治的结直肠癌患者60例,根据随机数字表法将所有患者分为2组,每组30例。对照组实施传统开腹结直肠癌根治术,观察组实施腹腔镜辅助结直肠癌根治术。比较2组手术各项指标、术后情况和并发症发生情况。结果对照组手术用时、术中出血量、切口长度等均高于观察组,差异有统计学意义(P<0.05);对照组术后排气时间为(4.65±2.18)d、进食时间(3.64±1.32)d、住院时间(12.27±3.54)d,观察组术后排气时间为(3.27±1.63)d、进食时间(2.21±1.25)d、住院时间(8.92±2.36)d,差异有统计学意义(P<0.05);对照组并发症发生率为33.33%(10/30),观察并发症发生率为10.00%(3/30),差异有统计学意义(P<0.05)。结论与传统开腹结直肠癌根治术相比,对结直肠癌患者实施腹腔镜辅助结直肠癌根治术效果更优,能有效优化各项手术指标,缩短治疗时间,降低并发症发生率,安全性高,值得临床应用与推广。

Objective To investigate the efficacy and safety of laparoscope-assisted radical resection versus traditional open radical resection in the treatment of colorectal cancer. Methods A total of 60 selected patients with colorectal cancer in our hospital from August 2014 to December 2016 were divided into two groups by random number table（30 cases per group）. The patients in the control group received the traditional open radical resection for colorectal cancer, and the patients in the observation group were given the laparoscope-assisted radical resection for colorectal cancer. The surgical indexes, postoperative situation and complications of the two groups were compared. Results The operation time, intraoperative bleeding volume, and length of incision of the control group were higher than those of the observation group（P〈0.05）. The postoperative exhaust time, eating time, hospital stays of the control group were（4.65±2.18） d,（3.64±1.32） d and（12.27±3.54） d respectively, and those of the observation group were（3.27±1.63） d,（2.21±1.25） d, and（8.92±2.36） d respectively, and there was a statistical difference between two groups（P〈0.05）. The incidence of complications in the control group was 33.33%（10/30） and that of the observation group was 10.00%（3/30）, and there was a statistical difference between two groups（P〈0.05）. Conclusion Compared with the traditional open radical resection for colorectal cancer, the laparoscope-assisted radical resection for colorectal cancer has better effects, it can effectively optimize surgical indexes,shorten the treatment time, decrease the incidence of complications and have high safety, which is worthy of clinical application and promotion.