腹腔镜手术治疗大肠癌合并肠梗阻40例疗效观察

Laparoscopic Surgery of Large Intestinal Cancer Complicated with Intestinal Obstruction:Effect Observation on 40 Cases

为观察腹腔镜手术治疗大肠癌合并肠梗阻患者的疗效,将大肠癌合并肠梗阻患者80例随机分为对照组和观察组,每组40例。对照组患者采用传统开腹手术治疗,观察组患者采用腹腔镜手术治疗,比较2组患者围术期指标以及术后并发症情况,术后随访1年,比较2组患者的复发率和生存率。结果显示,2组患者手术时间比较差异无统计学意义(P>0.05);观察组患者术中出血量少于对照组(P<0.05),术后禁食时间、肠道功能恢复时间以及住院时间均短于对照组(P<0.05),并发症发生率低于对照组(P<0.05);术后随访1年,2组患者复发率、远处转移率和生存率比较差异均无统计学意义(P>0.05)。结果表明,腹腔镜手术治疗大肠癌合并肠梗阻患者近期临床疗效确切,且术中出血量少,有助于患者术后恢复。

This study was to observe the effect of laparoscopic surgery for large intestinal cancer(LIC)complicated with intestinal obstruction(IO),randomly divided 80 LIC complicated with IO patients into control group(40 cases,routine open surgery for their diseases)and observation group(40 cases,laparoscopic surgery);then,compared both groups’ perioprative norms and postoperative complication,as well as the recurrence rate and survival rate after 1 year-follow-up.As results,in operating time,and in recurrence rate and survival rate during postoperative 1-year follow-up,there was no statistical difference between the two groups(P >0.05);but in intraoperative bleeding volume;in the time for postoperative fast,for gastrointestinal function recovered,and for hospitalization;and,in the incidence of complication,observation group was respectively less,shorter,and lower than control group(all,P<0.05).Results show that laparoscopic surgery for LIC complicated with IO has certain short-term effect,and is of less intraoperative bleeding volume which are helpful to patients’ postoperative rehabilitation.