腹腔镜手术治疗结肠癌的临床应用  

Clinical Application of Laparoscopic Operation for Colon Cancer

作　　者：杨鹏[1] 朱研[2] 陈宏[2] 杨磊[2] 曹锋[2] 

机构地区：[1]北京市门头沟区医院ICU,北京102300 [2]首都医科大学宣武医院普外科,北京102300

出　　处：《现代生物医学进展》2013年第20期3890-3892,3934,共4页Progress in Modern Biomedicine

摘　　要：目的:探讨腹腔镜手术治疗结肠癌的临床效果。方法:选取我院结肠癌患者44例,随机分为观察组和对照组,各22例,观察组行腹腔镜手术,对照组行开腹手术,比较两组的治疗效果和安全性。结果:两组患者的手术时间差异无统计学意义(P>0.05),观察组的术中出血量明显少于对照组,差异有统计学意义(P<0.05),观察组术后排气时间、术后疼痛时间和住院时间均比对照组更短,差异有统计学意义(P<0.05)。观察组和对照组并发症发生率分别为9.09%和22.73%,差异有统计学意义(P<0.05)。两组患者3年内局部复发、远处转移、种植转移和总生存率差异均无统计学意义(P<0.05)。结论:腹腔镜手术治疗结肠癌有效、安全,具有创伤小,恢复快,并发症少等优点,适合临床广泛应用。Objective： To investigate the clinical efficacy of laparoscopic colon cancer surgery. Methods： 44 patients with colon cancer treated in our hospital were picked up and divided into observation group and control group randomly, with 22 cases in each group. The observation group had laparoscopic surgery, and the control group had conventional open surgery. The treatment effectiveness and safety were compared between two groups. Results： The operation time were nearly the same in two groups. There was no statistical difference （P〉0.05）. Intraoperative blood loss was much fewer, the anus exhaust time, ache lasting time and length of stay in hospital were significantly shorter in observation group than in control group （P〈0.05）. The complication incidence rates of observation group and control group were 9.09% and 22.73%, respectively, the differences were significant （P〈0.05）. The local recurrence, metastasis, implantation metastasis and survival rates in two groups have no statistical differences （P〉0.05）. Conclusion： Laparoscopic colon cancer surgery is effective and safe, with advantages of small wound, fast recovery and few complications. It is suit for widely using in clinic.

关 键 词：腹腔镜手术 结肠癌 临床应用 

分 类 号：R735-35[医药卫生—肿瘤]