腹腔镜结直肠癌根治术治疗结直肠癌的近期效果

The short-term effects of laparoscopic radical resection of colorectal cancer in the treatment of colorectal cancer

目的探讨分析腹腔镜结直肠癌根治术治疗结直肠癌的近期效果。方法选取2015年3月~2017年4月我院收治的76例结直肠癌患者作为研究对象,根据随机数字表法分为两组,每组各38例。对照组采用开腹结直肠癌根治术治疗,观察组采用腹腔镜结直肠癌根治术治疗,比较两组患者的疗效。结果两组患者的手术时间、清扫淋巴结数比较,差异无统计学意义(P>0.05);观察组切口长度、住院时间以及排气时间明显短于对照组,观察组出血量明显少于对照组,两组比较差异有统计学意义(P<0.05);观察组患者并发症总发生率(13.1%)明显低于对照组(36.9%),差异有统计学意义(P<0.05);观察组患者手术完成后6个月的肿瘤转移率和复发率明显低于对照组,存活率明显高于对照组,差异有统计学意义(P<0.05)。结论针对结直肠癌患者应用腹腔镜结直肠癌根治术治疗的效果要比开腹手术更加显著,可以有效降低患者的手术创伤,加快恢复速度,减少并发症发生,降低转移和复发,提高短期存活率,值得推广和应用。

Objective To explore the short-term effect of laparoscopic radical resection of colorectal cancer in the treatment of colorectal cancer. Methods A total of 76 cases of colorectal cancer treated in our hospital from March2015 to April 2017 were selected as the subjects, and they were divided into two groups according to random number table method, 38 cases in each group. The control group was treated with radical resection of colorectal cancer, and the observation group was treated with laparoscopic radical resection of colorectal cancer, and the curative effect of the two groups was compared. Results There was no significant difference in the time of operation and the number of lymph node dissection between the two groups（P〈0.05）. The incision length, length of hospital stay and exhaust time of the observation group were significantly shorter than those of the control group, the differences were statistically significiant（P〈0.05）. The amount of blood loss in the observation group was significantly lower than that in the control group, and the difference between the two groups was statistically significant（P〈0.05）. The total incidence of complications in the observation group（13.1%） was significantly lower than that in the control group（36.9%）, and the difference between the two groups was statistically significant（P〈0.05）. The tumor metastasis rate and recurrence rate in the observation group were significantly lower than that in the control group after the surgery, and the survival rate was significantly higher than that in the control group, the differences between the two groups were significant（P〈0.05）. Conclusion The effect of laparoscopic radical resection of colorectal cancer for colorectal cancer patients is more significant than that of laparotomy, it can effectively reduce surgical trauma, speed up recovery, reduce complications, reduce metastasis and recurrence, and improve short-term survival rate, which is worthy of popularization and application.