腹腔镜在病理分期手术治疗结肠癌中的应用效果观察

Efficacy Observation of Laparoscope Applied in Pathological Staging Surgery for Colonic Carcinoma

为观察腹腔镜在病理分期手术治疗结肠癌中的应用效果,将100例结肠癌患者随机分为2组,每组50例。对照组、观察组分别实施单纯的病理分期手术和以腹腔镜为指导的病理分期手术。对2组结肠癌患者的TNM分期情况、疗效及术后恢复情况进行比较。结果显示,观察组TNM分期与对照组比较差异无统计学意义(P>0.05);观察组患者在手术时间、术中出血量、淋巴结切除个数及住院时间方面均优于对照组(P<0.05);观察组患者术后感染发生率低于对照组(P<0.05);观察组患者术后3年存活率和5年存活率均高于对照组(P<0.05)。结果表明,结肠癌患者采用以腹腔镜为指导的病理分期手术治疗的有效性高,有助于存活率的提高。

To observe the application efficacy of laparoscope in pathological staging surgery for colonic carcinoma,100 cases of colonic carcinoma were randomly divided into observation group（ n =50,received above laparoscope-guided pathological staging surgery） and control group（ n = 50, simple pathological stag- ing surgery）,then both groups＇ TNM staging results of patients, and their curative effect as well as their postoperative recovery status were compared.As results,the TNM staging of both groups had no statistical difference（ P 〉0.05）, but in operative time, in intraoperative bleeding volume, in the number of lymph node removed,and in hospital stay; in postoperative infection incidence rate; as well as in postoperative 3- year survival rate and 5-year survival rate,observation group was respectively superior to control group（ P 〈00.05） ;lower;as well as higher than control group（all, P 〈0.05）.Results show that laparoscopic pathological staging surgery for colonic carcinoma has higher effectiveness which is helpful to survival rate increased.