腹腔镜与开腹手术治疗右半结肠肿瘤的效果比较

Effect comparison of laparoscopic and open surgery in the treatment of right colon tumor

目的比较腹腔镜与开腹手术治疗右半结肠肿瘤的效果。方法选取2011年1月～2013年5月本院收治的98例右半结肠肿瘤患者作为研究对象,根据手术方式的不同将其分为观察组(n=50)和对照组(n=48)。对照组给予开腹手术治疗,观察组采用腹腔镜手术治疗。比较两组患者的手术相关指标、并发症发生率以及术后5年存活率。结果观察组的手术时间、住院时间短于对照组,出血量少于对照组,差异有统计学意义(P<0.05)。观察组的排气时间、下床活动时间、流质饮食时间短于对照组,差异有统计学意义(P<0.05)。观察组的VAS评分低于对照组,差异有统计学意义(P<0.05)。观察组的并发症发生率低于对照组,5年存活率高于对照组,差异有统计学意义(P<0.05)。结论腹腔镜手术治疗右半结肠肿瘤的治疗效果优于开腹手术治疗,值得临床推广应用。

Objective To compare the therapeutic effects of laparoscopic and open surgery in the treatment of right colon tumors.Methods A total of 98 patients with right colon cancer treated in our hospital from January 2011 to May 2013 were selected as the research objects.According to the different surgical methods,they were divided into the observation groups(n=50)and the control group(n=48).The control group received laparotomy,and the observation group received laparoscopic surgery.The operative-related indicators,the incidence rate of complications and 5-year survival rates were compared between the two groups.Results The operation time and hospitalization time of the observation group were shorter than those of the control group,and the amount of bleeding of the observation group was less than that of the control group,with significant difference(P<0.05).The exhaust time,out-of-bed activity time and liquid diet time of the observation group were shorter than those of the control group,with significant difference(P<0.05).The VAS score of the observation group was lower than that of the control group,with significant difference(P<0.05).The incidence rate of complication of the observation group was lower than that of the control group,and the 5-year survival rate of the observation group was higher than that of the control group,with significant difference(P<0.05).Conclusion Laparoscopic surgery is superior to open surgery in the treatment of right colon cancer.It is worthy of clinical popularization and application.