减孔腹腔镜手术在结直肠癌外科治疗中的应用研究

Study on application of perforating laparoscopic surgery in surgical treatment of colorectal cancer

目的分析减孔腹腔镜手术在结直肠癌外科治疗中的应用效果及安全性。方法以方城县人民医院2016年1月—2020年2月收治的结直肠癌患者80例为本次研究对象,所有患者均接受腹腔镜手术治疗,采用随机数字表法分为两组,各40例。对照组采用传统五孔腹腔镜治疗,研究组采用减孔(两孔)腹腔镜手术治疗,比较两组治疗效果。结果两组患者的手术时间、术中出血量、病灶直径、淋巴结清扫数量比较,差异无统计学意义(P>0.05)。研究组切口长度(4.31±0.52)cm,显著短于对照组的(5.98±0.63)cm,组间差异有统计学意义(P<0.05)。研究组下床活动时间(1.15±0.76)d,住院时间(9.25±1.33)d,分别与对照组的(1.87±0.95)d和(12.14±1.59)d比较,差异有统计学意义(P<0.05)。两组首次排气时间、进食流质时间、引流管拔除时间及并发症发生率比较,差异无统计学意义(P>0.05)。结论在结直肠癌外科治疗中应用减孔腹腔镜手术,能够有效缩短患者术后恢复时间,改善患者预后,具有较高疗效和安全性,指导推广。

Objective To analyze the efficacy and safety of perforating laparoscopic surgery in the surgical treatment of colorectal cancer.Methods A total of 80 patients with colorectal cancer admitted to Fangcheng County People’s Hospital from January 2016 to February 2020 were selected as the subjects of this study.All the patients received laparoscopic surgery and were divided into two groups by random number table method,with 40 patients in each group.The control group was treated with traditional five-hole laparoscopic surgery,while the study group was treated with reduced-hole(two-hole)laparoscopic surgery,and the therapeutic effects of the two groups were compared.Results There were no statistically significant differences between the two groups in operation time,intraoperative blood loss,lesion diameter and number of lymph node dissection(P>0.05).The incision length in the study group was(4.31±0.52)cm,which was significantly shorter than that in the control group(5.98±0.63)cm,with significant difference between groups(P<0.05).The activity time of the study group was(1.15±0.76)d,and the length of hospital stay was(9.25±1.33)d,respectively,compared with the control group(1.87±0.95)d and(12.14±1.59)d,with statistically significant differences(P<0.05).There were no statistically significant differences between the two groups in first exhaust time,intake fluid time,drainage tube removal time and complication incidence(P>0.05).Conclusion The application of reduced-hole laparoscopic surgery in the surgical treatment of colorectal cancer can effectively shorten the postoperative recovery time and improve the prognosis of patients,with higher efficacy and safety,guiding the promotion.