腹腔镜与开腹手术治疗晚期结肠癌的临床疗效分析  

Clinical Analysis of Laparoscopic and Open Surgery in the Treatment of Patients with Advanced Colon Cancer

作　　者：何平[1] 梁杰雄[1] 邵天松[1] 宋辉[1] 张钊[1] 李洋[1] 

机构地区：[1]首都医科大学附属北京安贞医院,100029

出　　处：《实用癌症杂志》2017年第8期1325-1327,共3页The Practical Journal of Cancer

基　　金：首都医科大学基础-临床科研合作基金项目(编号:14JL65)

摘　　要：目的比较分析腹腔镜与开腹手术治疗晚期结肠癌的疗效。方法 78例结直肠癌患者,采用传统开腹25例,腹腔镜手术者53例,比较两组患者术中出血量、手术持续时间、切除淋巴结数目及切缘阳性率;术后在院天数、疼痛持续时间、开始进食时间及1、3、5年生存率情况。结果在术中方面,腹腔镜手术在术中出血量及手术时间两方面优于传统开腹手术;在术后恢复方面,腹腔镜对患者带来低创伤对与患者的术后恢复显著快于开腹组;在术后预后方面,开腹切除结肠癌相比于腹腔镜切除较好。结论手术本身所带来的创伤方面,腹腔镜切除结肠癌肿瘤相比于开腹手术具有明显的优势;但远期预后,腹腔镜切除却低于开腹手术。Objective To compare and analyze the efficacy of laparoscopic and open surgery in the treatment of patients with advanced colon cancer. Methods 78 cases of patients with colorectal cancer,including 25 cases with traditional open sur- gery and laparoscopic surgery 53 cases, compare with intraoperative blood loss, surgery duration, number of reseeted lymph nodes and positive margin rate ; postoperative hospital stay, pain in continuous time, eating time ; and 1 -, 3-,5- year survival rate in the 2 groups of patients. Results In intraoperative, bleeding volume and operation time in laparoseopic surgery groups were better than traditional open surgery; recovery after surgery, in spectroscopy surgery groups patients with low trauma were recovered significant- ly faster than the laparotomy group ;in the postoperative prognosis, open resection of colon cancer was better than laparoscopic re- section. Conclusion Laparoscopic resection of colon cancer has obvious advantages of lower trauma, but long-term prognosis is less than laparotomy.

关 键 词：腹腔镜 开腹 外科手术 结肠癌 

分 类 号：R735.35[医药卫生—肿瘤]