腹腔镜手术与开腹手术治疗结直肠癌的临床疗效对比分析  

Comparative Analysis on the Clinical Effects of Laparoscopic and Open Surgery on the Colorectal Cancer

作　　者：王东阳[1] 娄熙彬[1] 王晨光[1] 叶玉祥[1] 林琳[1] 

机构地区：[1]南京军区福州总医院四七六临床部,福建福州350002

出　　处：《现代生物医学进展》2014年第29期5702-5704,共3页Progress in Modern Biomedicine

摘　　要：目的:探讨腹腔镜手术治疗结直肠癌的临床效果,比较腹腔及与传统开腹术的优势,为临床研究提供可借鉴的方法。方法:对2008年5月至2012年7月在我院接受肠癌切除术的62例患者的临床资料进行回顾性分析,根据手术方式的不同,将患者分为腹腔镜组(33例)和开腹组(29例),分别采取腹腔镜手术和传统开腹手术治疗。比较两组患者的手术时间、出血量、术后排气时间、并发症、平均住院时间及住院费用等。结果:腹腔镜组患者的手术时间、术中出血量、术后排气时间、平均住院时间均明显优于开腹组患者(P<0.05);腹腔镜组术后无并发症,开腹组11例出现并发症,差异具有统计学意义(P<0.05);两组患者的住院费用无明显差异(P>0.05)。结论:腹腔镜结直肠癌根治术具有很好的临床效果,术中出血少、术后恢复快,能够减少手术对患者机体造成的损伤,值得临床推广应用。Objective： To investigate the clinical effects of different methods for the patients with colorectal cancer and analyze the advantages of the laparoscopic surgery so as to provide a basis for clinical research and practice. Methods： A retrospective analysis was performed about the clinical data of 62 patients with colorectal cancer who were treated in our hospital from May 2008 to July 2012. All the selected cases were divided into the laparoscopic group and the conventional group on the basis of different methods. The patients in the two groups were treated by the laparoscopic surgery and the open surgery, respectively. Then the blood loss, the operation time, the exhaustion time, the incidence of complications, the hospitalization and the cost of patients in the two groups were compared and analyzed. Results： The blood loss, the operation time, the time for exhaustion and the hospitalization of patients in the laparoscopic group were obviously better than those of the patients in the conventional group with statistically significant differences （P〈0.05）. There was statistically significant difference about the incidence of postoperative complications between the two groups （P〈0.05）. There was no statistically significant difference about the cost for surgery of patients in the two groups （P〉0.05）. Conclusions： It is indicated that the laparoscopic surgery should be well promoted to the clinical field with the advantages of the minimally invasive trauma, less blood loss and better recovery which is suitable for the patients with colorectal cancer to make the contribution to minimizing the damages brought by the operation.

关 键 词：腹腔镜手术 结直肠癌 传统开腹手术 临床疗效 

分 类 号：R735.3[医药卫生—肿瘤]