纤维结肠镜在早期结肠癌腹腔镜手术中的应用价值分析

Analysis on the Value of Fibercolonoscope Applied in Laparoscopic Surgery for Early Colonic Cancer

为探讨纤维结肠镜在早期结肠癌腹腔镜手术中的应用价值,选取于我科行腹腔镜手术治疗的50例早期结肠癌患者作为研究对象,随机分为观察组和对照组,各25例,观察组术中应用纤维结肠镜辅助定位行腹腔镜手术,对照组行常规腹腔镜手术。比较2组患者临床疗效、手术指标及病理检查结果。结果显示,观察组术中出血量少于对照组,手术时间、术后引流管放置时间及住院时间均明显短于对照组,P<0.05。对照组23例(92.0%)患者肿瘤病灶完全切除,切除标本边缘未见癌;观察组25例(100%)患者肿瘤病灶完全切除,切除标本边缘未见癌。结果表明,纤维结肠镜在早期结肠癌腹腔镜手术中定位准确率高,可提高手术成功率和安全性,适合临床推广应用。

This study was to explore the value of fibercolonoscope applied in laparoscopic surgery for early colonic cancer,enrolled 50 cases to be subject to this surgery in authors’department,and randomly divided them into observation group(25 cases,fibercolonoscope was adopted for targeting then implementing laparoscopic surgery)and control group(25 cases,routine laparoscopic surgery);then compared both groups’clinical effect,operative norms and pathological exam.results.As results,in intraoperative bleeding volume,and in the time for operating,for postoperatively placing drainage tube,and for postoperative hospitalization observation group was less and shorter than control group(all,P<0.05);neoplasms focus were completely resected,as well in the edge of specimen resected there was no cancer in 23 cases(92.0%)of control group,meanwhile in 25 cases(100%)of observation group.Results show that the localization accuracy rate of fibercolonoscope in laparoscopic surgery for colonic cancer is high,thus can enhance the success rate and safety of surgery.It is worthy of clinical popularization and application.