腹腔镜下结肠癌切除术对结肠癌的治疗价值及预后研究

Study on treatment value and prognosis of laparoscopic colon cancer resection for colon cancer

目的研究腹腔镜下结肠癌切除术对结肠癌的治疗价值及预后。方法 67例结肠癌患者,随机分为对照组(33例)和观察组(34例)。对照组给予开腹结肠癌切除术治疗,观察组给予腹腔镜下结肠癌切除术治疗。观察对比两组患者的手术指标(出血量、手术时间)、康复情况(进食时间、下床时间、排气时间、住院时间)、生存率、复发率。结果观察组患者的手术时间为(74.38±1.79)min、出血量为(66.48±11.42)ml,均少于对照组的(88.63±3.62)min、(122.48±40.88)ml,差异具有统计学意义(P<0.05)。观察组患者的进食时间为(2.09±0.20)d、下床时间为(3.16±0.87)d、排气时间为(2.15±0.11)d、住院时间为(7.09±3.80)d,均短于对照组的(4.33±0.88)、(5.30±1.12)、(4.35±0.82)、(9.42±3.79)d,差异具有统计学意义(P<0.05)。观察组患者的生存率为88.24%、复发率为8.82%,与对照组的87.88%、12.12%对比,差异无统计学意义(P>0.05)。结论给予结肠癌患者腹腔镜下结肠癌切除术治疗,能减少患者手术时间及出血量,促进身体恢复,预后较好,值得借鉴。

Objective To study the treatment value and prognosis of laparoscopic colon cancer resection for colon cancer. Methods A total of 67 colon cancer patients were randomly divided into control group(33 cases) and observation group(34 cases). The control group was treated with open resection of colon cancer, and the observation group was treated with laparoscopic colon cancer resection. Observation and comparison were made on surgical indicators(bleeding volume, surgical time), rehabilitation condition(feeding time, offbed time, exhaust time, hospitalization time), survival rate and recurrence rate between the two groups. Results The observation group had less surgical time as(74.38±1.79) min, bleeding volume as(66.48±11.42)ml than(88.63±3.62) min and(122.48±40.88) ml in the control group, and the difference was statistically significant(P<0.05). The observation group had feeding time as(2.09±0.20) d, off-bed time as(3.16±0.87) d, exhaust time as(2.15±0.11) d and hospitalization time as(7.09±3.80) d than(4.33±0.88),(5.30±1.12),(4.35±0.82) and(9.42±3.79) d in the control group, and their difference was statistically significant(P<0.05). The observation group had no statistically significant difference in survival rate as 88.24% and recurrence rate as 8.82%, comparing with 87.88% and 12.12% in the control group(P>0.05). Conclusion Laparoscopic colon cancer resection for patients with colon cancer can reduce the operation time and bleeding volume of patients, promote physical recovery with a good prognosis. It is worthy of reference.