腹腔镜结直肠癌根治术与开腹手术治疗结直肠癌临床效果分析

Clinical Analysis of Laparoscopic Radical Resection of Colorectal Cancer and Open Surgery for Colorectal Cancer

目的对腹腔镜结直肠癌根治术与开腹手术治疗结直肠癌的临床疗效及价值进行分析和比较。方法选择2015年1-2018年12月该院收治的80例结直肠癌患者作为研究对象,按照患者就诊日期的单双号将其随机划分为两组,对照组和观察组各有40例。采用开腹结直肠癌根治术对对照组进行治疗,采取腹腔镜结直肠癌根治术对观察组进行治疗。对两组患者的手术指标、住院时间和并发症发生情况进行比较。结果对照组的淋巴结清扫个数为(12.19±2.45)个,术中出血量为(193.24±35.06)mL,切口长度为(11.35±1.47)cm,手术时间为(153.72±7.09)min,术后排气时间为(3.16±0.92)d,住院时间为(11.51±1.48)d,观察组的淋巴结清扫个数为(11.97±2.65)个,术中出血量为(95.82±22.71)mL,切口长度为(5.18±1.55)cm,手术时间为(196.18±9.36)min,术后排气时间为(2.53±0.69)d,住院时间为(7.72±1.50)d。观察组的手术时间明显高于对照组,切口长度、术中出血量、术后排气时间和住院时间等明显低于对照组,两组患者相比差异有统计学意义(t=4.039、3.746、18.371、4.389、29.075,P<0.05)。观察组的淋巴结清扫数量与对照组相比差异无统计学意义(t=0.322,P>0.05)。对照组中有4例吻合口出血,2例肠梗阻,3例切口感染,并发症发生率为22.5%,观察组中有1例肠梗阻,2例切口感染,并发症发生率为7.5%。观察组的并发症发生率明显低于对照组,两组患者相比差异有统计学意义(χ^2=7.285,P<0.05)。结论在结直肠癌患者的临床治疗中应用腹腔镜结直肠癌根治术具有很好的治疗效果,而且能够有效改善患者的手术指标,降低其住院时间,并且有效控制其并发症的发生率。

Objective To analyze and compare the clinical efficacy and value of laparoscopic radical resection of colorectal cancer and open surgery for colorectal cancer. Methods Eighty patients with colorectal cancer admitted to our hospital from January 2015 to December 2018 were selected as subjects. They were randomly divided into two groups according to the single and double date of the patient’s visit. There were 40 cases in the control group and the observation group each. The control group was treated with radical resection of colorectal cancer, and the observation group was treated with laparoscopic radical resection of colorectal cancer. Surgical indicators, length of hospital stay, and complications were compared between the two groups. Results The number of lymph node dis-section in the control group was(12.19 ±2.45), the intraoperative blood loss was(193.24 ±35.06)mL, the incision length was(11.35 ±1.47) cm, and the operation time was(153.72±7.09) min. The exhaust time was(3.16±0.92)d, the hospital stay was(11.51±1.48)d, the number of lymph node dissection in the observation group was(11.97 ±2.65), and the intraoperative blood loss was(95.82±22.71)mL,incision length(5.18±1.55) cm, the operation time was(196.18±9.36) min, the postoperative exhaust time was(2.53±0.69) d, and the hospital stay was(7.72±1.50) d. The operation time of the observation group was significantly higher than that of the control group.The length of the incision, the amount of intraoperative blood loss, the postoperative exhaust time and the length of hospital stay were significantly lower than those of the control group. The difference between the two groups was statistically significant(t=4.039, 3.746,18.371, 4.389, 29.075, P<0.05). The number of lymph node dissection in the observation group was not significantly different from that in the control group, and there was no statistical significance(t=0.322, P>0.05). In the control group, there were 4 cases of anastomotic hemorrhage, 2 cases of intestinal obstruction, 3 cases of incision infection, the complication rate was 22.5%, 1 cases of intestinal obstruction in the observation group, and 2 cases of wound infection, the complication rate was 7.5%. The incidence of complica-tions in the observation group was significantly lower than that in the control group. The difference between the two groups was statistically significant(χ~2=7.285, P<0.05). Conclusion The application of laparoscopic radical resection of colorectal cancer in the clinical treatment of patients with colorectal cancer has a good therapeutic effect, and can effectively improve the surgical index of patients,reduce their hospitalization time, and effectively control the incidence of complications.