腹腔镜结直肠癌根治术与开腹手术治疗结直肠癌的临床效果及预后分析

Clinical Efficacy and Prognosis of Laparoscopic Radical Resection and Laparotomy for Colorectal Cancer

目的:分析开腹手术与腔镜结直肠癌根治术治疗结直肠癌的效果及预后情况。方法:选取2017年1月1日-2018年12月31在笔者所在医院治疗的结直肠癌患者90例,根据手术方式分为观察组(45例)、对照组(45例),观察组选择腹腔镜结直肠癌根治术治疗,对照组选择开腹手术治疗。观察并比较两组术中、术后及预后情况。结果:治疗后,观察组术中出血量少于对照组,手术时间、肠道功能恢复时间、住院时间均短于对照组,肿瘤复发率(12.50%)低于对照组(40.00%),术后并发症发生率(2.22%)低于对照组(20.00%),差异均有统计学意义(P<0.05)。结论:在治疗结直肠癌时,腹腔镜结直肠癌根治术治疗效果更显著,能够有效降低患者术中出血量、肿瘤复发率,促进患者康复。

Objective:To explore and analyze the effect and prognosis of laparotomy and laparoscopic radical resection for colorectal cancer.Method:Ninety patients with colorectal cancer treated in our hospital from January 1st,2017 to December 31st,2018 were selected,and were divided into the observation group(45 cases)and the control group(45 cases)according to the operation mode.The observation group was treated by endoscopic radical resection of colorectal cancer,while the control group was treated by open surgery.The prognosis of two groups of patients after different surgical treatment were observed and compared.Result:After treatment,the bleeding volume in the observation group was less than that in the control group,the time of operation,recovery of intestinal function and hospitalization were shorter than those of control group,the tumor recurrence rate(12.50%)in the observation group were significantly lower than that of the control group(40.00%),and the incidence of postoperative complications(2.22%)was lower than that of the control group(20.0%),the differences were statistically significant(P<0.05).Conclusion:In the treatment of colorectal cancer,the effect of laparoscopic radical resection of colorectal cancer is more remarkable,which can effectively reduce the blood volume,recurrence rate of tumors and promote the rehabilitation of patients.