腹腔镜手术治疗结直肠癌的临床效果及术后并发症发生情况分析

Analysis of the Clinical Effect and Postoperative Complications of Laparo⁃scopic Surgery in the Treatment of Colorectal Cancer

目的分析腹腔镜手术治疗结直肠癌的临床效果以及并发症发生情况。方法回顾性选取2022年7月—2023年7月香河县中医医院收治的100例结直肠癌患者的临床资料,根据不同治疗方法分入对照组与观察组,各50例。对照组采取开腹手术,观察组应用腹腔镜手术。比较两组手术相关指标、术后并发症、氧化应激指标以及疼痛因子水平。结果观察组术中出血量低于对照组,手术时间长于对照组,术后下床活动、肠道恢复、辅助引流时间和住院时间均短于对照组,差异有统计学意义(P均<0.05)。观察组并发症发生率为6.00%(3/50),低于对照组的20.00%(10/50),差异有统计学意义(χ^(2)=4.332,P<0.05)。术后,观察组超氧化物歧化酶水平高于对照组,丙二醛水平低于对照组,差异有统计学意义(P均<0.05)。术后,观察组各疼痛因子水平均低于对照组,差异有统计学意义(P均<0.05)。结论相较于传统手术,腹腔镜手术治疗结直肠癌展现显著优势,尽管手术时间延长,但患者整体恢复更佳,术后并发症更少。

Objective To analyze the clinical effect and complications of laparoscopic surgery in the treatment of colorectal cancer.Methods The clinical data of 100 patients with colorectal cancer admitted to Xianghe County Hospi⁃tal of Traditional Chinese Medicine from July 2022 to July 2023 were retrospectively selected and divided into control group and observation group according to different treatment methods,with 50 cases in each group.The control group was treated with laparotomy,and the observation group was treated with laparoscopic surgery.The operation related in⁃dexes,postoperative complications,oxidative stress indexes and pain factors were compared between the two groups.Results The intraoperative blood loss in the observation group was lower than that in the control group,the operation time was longer than that in the control group,and the postoperative ambulation,intestinal recovery,auxiliary drainage time and hospitalization time were shorter than those in the control group,the differences were statistically significant(all P<0.05).The incidence of complications in the observation group was 6.00%(3/50),which was lower than 20.00%(10/50)in the control group,and the difference was statistically significant(χ^(2)=4.332,P<0.05).After operation,the level of superoxide dismutase in the observation group was higher than that in the control group,and the level of malo⁃ndialdehyde was lower than that in the control group,the differences were statistically significant(both P<0.05).After operation,the levels of pain factors in the observation group were lower than those in the control group,and the differ⁃ences were statistically significant(all P<0.05).Conclusion Compared with traditional surgery,laparoscopic surgery shows significant advantages in the treatment of colorectal cancer.Although the operation time is prolonged,the over⁃all recovery of the patients is better and the postoperative complications are less.