腹腔镜结直肠癌根治术与开腹手术远期疗效比较

Comparison of Long-Term Efficacy Between Laparoscopic Radical Resection and Open Surgery for Colorectal Cancer

目的:分析对结直肠癌患者应用腹腔镜结直肠癌根治术与开腹手术的远期疗效。方法:选择本院2017年9月~2019年3月收治的100例结直肠癌患者为研究对象,随机分为对照组和观察组,各50例。对照组行开腹手术,观察组实施腹腔镜结直肠癌根治术。比较两组患者的手术时间、术中出血量和肠功能恢复时间等指标差异,分析两组患者的并发症发生情况和远期疗效。结果:观察组在手术时间、术中出血量和肠功能恢复时间等方面的指标优于对照组,且并发症与对照组差异具有统计学意义(P<0.05);在远期疗效方面,观察组的局部复发率和远处转移率都明显低于对照组,P<0.05。结论:对结直肠癌患者应用腹腔镜结直肠癌根治术,较于开腹手术而言,远期疗效极为显著,值得临床应用。

Objective:To analyze the long-term effects of laparoscopic radical resection and laparotomy for colorectal cancer patients.Methods:We selected 100 patients with colorectal cancer admitted to our hospital from September 2017 to March 2019 as the research objects,and were randomly divided into a control group and an observation group,with 50 cases in each.The control group received laparotomy while the observation group received laparoscopic radical resection of colorectal cancer.The operation time,intraoperative blood loss and intestinal function recovery time of the two groups were compared,and the complications and long-term efficacy of the two groups were analyzed.Results:The observation group was superior to the control group in terms of operation time,intraoperative blood loss and intestinal function recovery time,and the complications were statistically significant(P<0.05).In terms of long-term efficacy,the local recurrence rate and distant metastasis rate in the observation group are significantly lower than those in the control group,with a difference of P<0.05.Conclusion:Compared with laparotomy,laparoscopic radical resection for colorectal cancer patients has a significant long-term effect and is worthy of clinical application.