腹腔镜下结直肠癌根治术治疗结直肠癌疗效对比分析

Effect of laparoscopic radical resection on colorectal cancer

目的探讨腹腔镜下结直肠癌根治术在结直肠癌患者中的应用价值。方法选取2018年6月—2020年6月行择期腹腔镜下结直肠癌根治术的49例结直肠癌患者作为腹腔镜组,同期33例结直肠癌行择期开腹结直肠癌根治为开腹组,回顾性对比分析两组临床疗效。结果腹腔镜组虽手术时间长于开腹组(P<0.05),两组淋巴结清扫数及随访1年病死、肿瘤复发无差异(P>0.05),但腹腔镜组术中出血量、排气时间、住院时间及并发症发生率均显著低于开腹组(P<0.05)。结论腹腔镜下结直肠癌根治术治疗结直肠癌患可达与开腹手术一样近期疗效,创伤较小、术后并发症较少,恢复较快,值得鉴推广。

Objective To investigate the value of laparoscopic radical resection of colorectal cancer.Methods The study included 49 patients with colorectal cancer who underwent laparoscopic radical resection of colorectal cancer(laparoscopic group),and 33 patients with colorectal cancer who underwent open radical resection of colorectal cancer(open surgery group).The clinical effects of the two groups were retrospectively analyzed.Results The operation time of the laparoscopic group was significantly longer than that of the open surgery group(P<0.05).No significant differences were found in the number of lymph nodes dissected,one-year mortality,and tumor recurrence rate between the two groups(P>0.05).However,the amount of intraoperative blood loss,exhaust time,hospital stay,and the incidence of complications in the laparoscopic group were significantly lower than those in the open surgery group(P<0.05).Conclusion Laparoscopic radical resection could achieve the same short-term efficacy as open surgery in the treatment of colorectal cancer,with less trauma,fewer postoperative complications,and faster postoperative recovery,thus is worthy of clinical promotion.