腹腔镜结直肠癌根治术治疗结直肠癌的临床效果分析

Analysis of the clinical effect of laparoscopic colorectal cancer radical surgery

目的探讨腹腔镜结直肠癌根治术(LCS)治疗结直肠癌的临床效果。方法选取2018年8月至2019年5月山西省肿瘤医院结直肠肛门外科收治的64例结直肠癌患者,男37例,女27例,年龄(52.71±2.68)岁,年龄范围为33~72岁,对其一般资料进行回顾性分析。根据是否采用LCS将患者分为腹腔镜组(n=30)及传统开腹组(n=34),比较两组患者的手术时间、术中出血量、淋巴结清除数、术后住院时间、术后胃肠功能恢复时间及术后并发症(术后吻合口瘘、肠梗阻、肺部感染、切口感染)发生率。结果腹腔镜组患者手术时间[(137.21±19.11)min]、术中出血量[(141.25±8.33)ml]、术后住院时间[(5.84±1.72)d]、术后胃肠功能恢复时间[(2.31±0.69)d]均优于传统开腹组[(178.57±15.38)min、(197.55±10.41)ml、(8.46±2.37)d、(3.89±0.93)d],差异有统计学意义(P<0.05)。两组患者淋巴结清除数比较,差异无统计学意义(P>0.05)。腹腔镜组患者并发症发生率[9.9%(3/30)]低于传统开腹组[26.4%(9/34)],差异有统计学意义(P<0.05)。结论 LCS治疗效果显著,可有效降低并发症的发生率,具有较高的安全性和有效性。

Objective:To investigate the clinical effect of laparoscopic colorectal cancer radical surgery.Methods:From August 2018 to May 2019, a total of 64 colorectal cancer patients, 37 males and 27 females, aged(52.71±2.68)years old, ranging from 33 to 72 years old, were admitted to the Colorectal and Anorectal Surgery department of Shanxi Provincial Cancer Hospital and their general data were retrospectively analyzed.Patients were divided into the laparoscopic group( n=30)and the traditional laparotomy group( n=34)according to whether laparoscopic colorectal cancer radical surgery was performed.The operation time, intraoperative blood loss, lymph node clearance, postoperative hospital stay, postoperative gastrointestinal function recovery time, postoperative complications(postoperative anastomotic leakage, intestinal root resistance, pulmonary infection, incision infection)and incidence rate were compared between the two groups. Results:The operation time[(137.21±19.11)minutes], intraoperative blood loss[(141.25±8.33)ml], postoperative hospital stay[(5.84±1.72)days], postoperative gastrointestinal function recovery time[(2.31±0.69)days] in the laparoscopic group were better than those in the traditional laparotomy group[(178.57±15.38)minutes, (197.55±10.41)ml, (8.46±2.37)days, (3.89±0.93)days], and the differences were statistically significant( P<0.05). There were no statistically significant differences in lymph node clearance and complications between the two groups( P>0.05). The incidence of complications in the laparoscopic group[9.9%(3/30)] was lower than that in the traditional laparotomy group[26.4%(9/34)], the differences were statistically significant( P<0.05). Conclusion:Laparoscopic radical resection of colorectal cancer not only has a significant therapeutic effect, but also can effectively reduce the incidence of complications, and has high safety and effectiveness.