开腹与腹腔镜结肠癌根治术的临床疗效研究  

Study of clinical effect between open surgery and laparoscopic surgery in the treatment of colon cancer

作　　者：徐东楚 郭云虎[1] 杨明[1] 徐敬修 刘永健[1] 

机构地区：[1]淮安市淮阴医院,江苏淮安223300

出　　处：《腹腔镜外科杂志》2014年第3期190-192,共3页Journal of Laparoscopic Surgery

摘　　要：目的:探讨传统开腹手术与腹腔镜结肠癌根治术的临床疗效、安全性及临床应用价值。方法:将56例经病理活检确诊的结肠癌患者随机分为腹腔镜组(n=28)与开腹组(n=28),观察对比两组手术时间、出血量、淋巴结清除数量、肠功能恢复时间、3年生存率及并发症发生情况。结果:两组均无手术死亡病例出现,且腹腔镜组无一例中转开腹。腹腔镜组术中出血量、术后肠道功能恢复时间、并发症发生率优于开腹组,但手术时间长于开腹组,差异有统计学意义(P<0.05);两组淋巴结清除数量、3年生存率差异无统计学意义(P>0.05)。结论:腹腔镜结肠癌根治术可取得与开腹组相似的远期生存率,具有开腹手术无可比拟的优点,体现了微创的治疗理念与良好的临床应用价值,可作为手术治疗结肠癌的另一选择。Objective：To explore the efficacy, safety and clinical values of laparoscopic surgery and traditional open surgery in the treatment of colon cancer. Methods： Fifty-six patients with colon cancer who were diagnosed by pathology were randomly divided in-to laparoseopie surgery group （ n = 28 ） and open surgery group （ n = 28 ）. Operation time, blood loss, number of resected lymph nodes, intestinal function recovery time,3-year survival rate and complication rate between the two groups were observed and compared. Re-suits ：There were no death occurred in both groups and no case in laparoscopic group was converted to open operation during the proce-dure. The blood loss,intestinal function recovery time and complications in laparoscopic group were less than those in open group,but the operation time in laparoscopic group was higher than that in open group （ P 〈 0.05 ）. There were no significant differences between the number of resected lymph nodes and 3-year survival rate in the two groups （ P 〉 0.05 ）. Conclusions ： Long-term survival rate of lap-aroscopic group is similar to that of open group for colon cancer. Laparoscopic radical resection of colonic cancer is mini-invasive, has incomparable advantages and good clinical application value. Therefore, laparoseopic surgery could be used as another way of minimally invasive surgery for colon cancer.

关 键 词：结肠肿瘤 腹腔镜检查 剖腹术 治疗结果 

分 类 号：R735.35[医药卫生—肿瘤]