腹腔镜辅助结直肠癌根治术安全性及近期疗效临床研究分析

Clinical Study on the Safety and Efficacy of Laparoscopic Assisted Colorectal Cancer

目的探究结直肠癌患者在根治术中使用腹腔镜辅助治疗的安全性以及有效性。方法方便选取该院2013年10月—2016年10月收治的结直肠癌患者120例,其均接受根治术治疗,根据手术措施的不同分为2组,其中实验组实施腹腔镜辅助治疗,对照组实施开腹术治疗,对比2组结直肠癌患者术中出血量、肛门排气时间、住院时间、淋巴结清扫数量以及并发症几率的差异。结果实验组手术时间明显长于对照组,但是其术中出血量、肛门排气时间、住院时间少于对照组(P<0.05),2组淋巴结清扫数量相比并差异无统计学意义(P>0.05);实验组并发症几率(6.67%)明显低于对照组并发症的几率(26.67%)(P<0.05)。结论在结直肠癌根治术中应用腹腔镜辅助治疗,可以对患者的手术安全性进行保证,且疗效较好,应用价值较高。

Objective This paper tries to explore the safety and effectiveness of laparoscopic assisted therapy in patients with colorectal cancer.Methods 120 patients with colorectal cancer from October 2013 to October 2016 treated with radical prostatectomy were convenient selected and divided into two groups based on different operation measures： the experimental group adopted laparoscopic assisted treatment,the control group implemented open surgery treatment,and then the intraoperation bleeding amount,the anal exhaust time,the hospitalized time,the lymph nodes clearance amount and the complications of two groups were compared.Results In the experimental group,the operation time was longer than the control group obviously,but the intraoperative blood loss,length of hospital stay,anal exhaust time were less than the control group（P〈0.05）,there was no statistical significance in the lymph node between the two groups（P〉0.05）; The incidence of complications in the experimental group was 6.67%,significantly lower than the control group of 26.67%（P〈0.05）.Conclusion Laparoscopic adjuvant therapy can be used to guarantee the surgical safety of patients with colorectal cancer,and it has good efficacy and high application value.