腹腔镜结直肠癌根治术在结直肠癌中的应用价值

Application Value of Laparoscopic Radical Resection of Colorectal Cancer in Colorectal Cancer

目的:探讨腹腔镜结直肠癌根治术在结直肠癌中的应用价值。方法:选取2015年1月—2019年12月武汉市江夏区中医医院收治的100例结直肠癌患者。根据随机数表法将其分为观察组和对照组,各50例。对照组给予开腹结直肠癌根治术,观察组给予腹腔镜结直肠癌根治术。比较两组围手术期指标、并发症、生存指标。结果:观察组手术时间、住院时间均短于对照组,术中出血量少于对照组,下床活动时间早于对照组,差异有统计学意义(P<0.05)。观察组并发症发生率低于对照组,差异有统计学意义(P<0.05)。两组无进展生存时间、总生存时间及3年生存率比较,差异无统计学意义(P>0.05)。结论:腹腔镜结直肠癌根治术具有手术时间短、出血量少、康复速度快的优势,相比于开腹手术来说,虽然远期疗效相当,但是腹腔镜手术可以降低术后并发症发生率,缩短患者的住院时间。

Objective:To explore the application value of laparoscopic radical resection of colorectal cancer in colorectal cancer and its influence on complications.Method:A total of 100 patients with colorectal cancer treated in Jiangxia District Hospital of Traditional Chinese Medicine of Wuhan City from January 2015 to December 2019 were selected.They were divided into observation group and control group according to random number table method,with 50 cases in each group.The control group was given open radical resection of colorectal cancer,and the observation group was given laparoscopic radical resection of colorectal cancer.Perioperative indexes,complications and survival indexes were compared between the two groups.Result:The operation time and hospital stay of the observation group were shorter than those of the control group,the amount of blood loss during operation was less than that of the control group,and the time of getting out of bed activity time was earlier than that of the control group,the differences were statistically significant(P<0.05).The incidence of complications in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).There were no significant differences in progression-free survival time,overall survival time and 3-year survival rate between the two groups(P>0.05).Conclusion:Laparoscopic radical resection of colorectal cancer has the advantages of short operation time,less blood loss volume and faster recovery.Compared with open surgery,although the long-term effect is comparable,laparoscopic surgery can reduce the incidence of postoperative complications and shorten the length of hospital stay.