腹腔镜与开腹结直肠癌根治术临床疗效及术后早期炎症性肠梗阻的防治效果  

Clinical efficacy of laparoscope and open colorectal cancer radical prostatectomy and prevention and treatment of early postoperative inflammatory bowel obstruction

作　　者：王剑 王浩 

机构地区：[1]浙江省衢州市中医院外科,浙江衢州324000

出　　处：《中国现代医生》2013年第17期55-57,60,共4页China Modern Doctor

基　　金：吴阶平医学基金会课题(320.6750.11008)

摘　　要：目的分析腹腔镜与开腹结直肠癌根治术治疗结直肠癌的临床效果以及术后早期炎症性肠梗阻的发病率、发病原因。方法选择在我科治疗的直肠癌患者403例为研究对象。其中200例采用腹腔镜结直肠癌根治术,203例采用开腹结直肠癌根治术,比较两组患者早期肠梗阻的发病情况以及防治结果。结果腹腔镜组的切口长度(4.1±1.2)cm,小于开腹组,平均术中出血量(90.1±16.4)mL,少于开腹组,术后排气时间(40.2±6.8)h,早于开腹组,差异均有统计学意义(P<0.01)。腹腔镜组术后早期炎症性肠梗阻的发生率(3.0%),显著低于开腹组(P<0.01)。开腹组中结肠癌发生术后早期炎性肠梗阻的比例(14.2%)显著高于直肠癌(P<0.01)。结论腹腔镜手术根治结直肠癌能够达到和开腹手术相似的切缘和淋巴结清除范围,术后早期炎症性肠梗阻的发生率较低。Objective To discuss clinical efficacy of laparoscope and open colorectal cancer radical prostatectomy and prevention and treatment of early postoperative inflammatory bowel obstruction（EPISBO）. Methods Selected 403 cases with colorectal cancer, 200 cases were treated by laparoscope, and 203 cases were treated by open operation. Clinical efficacy and EPISBO were compared between two groups. Results Slash length of laparoscope group（4.1±1.2）cm was shorted, intraoperatve blood loss （90.1 ± 16.4 ） mL was less, postoperative exhaust time （40.2 ±6.8 ） h was earlier than open group（P 〈 0.01）. EPISBO rate of laparoscope group （3.0%）was less than open group（P 〈 0.01）. EPISBO of colon cancer （14.2%） was more than rectal cancer in open group（P 〈 0.01）. Conclusion Laparoscope for colorectal cancer can achieve similar cut edge and laparotomy and lymph node removal range with open operation. EPISBO rate is lower.

关 键 词：腹腔镜 开腹手术 结直肠癌 术后早期炎症性肠梗阻 

分 类 号：R574.2[医药卫生—消化系统]