腹腔镜辅助结肠癌根治术治疗结肠癌的安全性分析

Safety Analysis of Laparoscopic Assisted Radical Resection of Colon Cancer in the Treatment of Colon Cancer

目的:探究腹腔镜辅助结肠癌根治术治疗结肠癌患者的手术安全性。方法:选取石门县妇幼保健计划生育服务中心2018年3月至2020年4月期间行手术治疗的78例结肠癌患者,随机抽签分为对照组与观察组,各39例。观察组选用腹腔镜辅助结肠癌根治术治疗,对照组选用开腹结肠癌根治术治疗,观察比较两组患者术后肛门恢复排气时长、手术之后可进食流质饮食时长、术后并发症发生率、术中失血总量、手术时长、下床走动时长、住院时长、对手术治疗效果总体满意占比。结果:观察组患者术后肛门恢复排气时长、手术之后可进食流质饮食时长均短于对照组,差异具有统计学意义(P<0.05);观察组患者术后并发症发生率为2.56%,低于对照组的15.38%,差异具有统计学意义(P<0.05);观察组患者的术中失血总量、手术时长、下床走动时长、住院时长均优于对照组,差异具有统计学意义(P<0.05);观察组患者的对手术满意为36例(92.31%),优于对照组的29例(74.36%),差异具有统计学意义(P<0.05)。结论:为结肠癌患者采取腹腔镜辅助结肠癌根治术治疗表现出良好手术安全性。

Objective To explore the safety of laparoscopic-assisted radical resection of colon cancer for patients with colon cancer.Methods A total of 78 patients with colon cancer who underwent surgical treatment from Shimen County Maternal and Child Health Family Planning Service Center from March 2018 to April 2020 were randomly divided into control group and observation group,with 39 cases in each group.The observation group was treated with laparoscopic-assisted radical resection of colon cancer,and the control group was treated with open radical resection of colon cancer.To observe and compare the length of time for the anus to recover after the operation,the length of time to eat a liquid diet after the operation,and the incidence of postoperative complications.The total amount of blood loss during the operation,the length of operation,the length of getting out of bed,the length of hospitalization,and the percentage of overall satisfaction with the surgical treatment.Results The length of time for the observation group to recover from the anus and the length of time to eat a liquid diet after the operation were both shorter than those of the control group(P<0.05).The postoperative complication rate of the observation group was 2.56%,which was lower than 15.38%of the control group,the difference was statistically significant(P<0.05).The total blood loss,the length of operation,the length of walking out of bed,and the length of stay in the observation group were all better than those of the control group,and the differences were statistically significant(P<0.05);36 cases(92.31%)in the observation group were satisfied with the operation,which was better than 29 cases in the control group(74.36%),the difference was statistically significant(P<0.05).Conclusion Laparoscopic-assisted radical resection of colon cancer for colon cancer patients shows good surgical safety.