腹腔镜下结直肠癌根治术近期疗效分析  

Analysis of Short-term Clinical Curative Effect of Laproscopic Operation for Radical Resection of Colorectal Carcinoma

作　　者：张剑[1] 董欣敏[2] 张彤[3] 

机构地区：[1]内蒙古医科大学附属医院放疗科,内蒙古呼和浩特010050 [2]内蒙古医科大学附属人民医院肿瘤科 [3]内蒙古医科大学附属医院普外科

出　　处：《疾病监测与控制》2017年第8期625-626,640,共3页Journal of Diseases Monitor and Control

摘　　要：目的探索腹腔镜下结直肠癌根治术与开腹结直肠癌根治术两者之间近期临床疗效之间的差异性。方法 2014年1月~2015年1月在内蒙古医科大学附属医院普外科进行治疗并完成结直肠癌根治术患者70例患者纳入研究,分为腹腔镜组、开腹手术组,并比较两组之间手术情况、术后恢复情况、肿瘤根治情况及并发症发生率之间差异。结果腹腔镜组的手术时间长于开腹组((146.9±20)min vs(125.0±15)min,但腹腔镜组术中出血量(89.2±22)m L vs(149.1±27)m L、切口长度(5.18±1.45)cm vs(9.73±1.71)cm、下床活动时间(5.2±1.4)d vs(6.5±1.7)d、排气时间(2.9±0.8)d vs(3.6±1.2)d、排便时间(4.0±2.0)d vs(5.4±2.0)d、进食时间(2.0±1.5)d vs(3.6±1.1)d、腹胀时间(2.6±0.5)d vs(4.0±0.8)d等治疗及恢复效果均优于开腹组(差异具有统计学意义),而两组肿瘤直径、肿瘤切除长度、淋巴结清扫个数、淋巴结转移数目等肿瘤根治情况以及切口感染、吻合口瘘、吻合口出血、肺部感染、泌尿系感染、尿潴留、肠梗阻等术后并发症发生率之间差异不具统计学意义。结论相比开腹手术,腹腔镜手术具有创伤小、出血少、患者恢复时间缩短等优势,可作为结直肠癌手术治疗有效治疗手段。Objective To analysis of short-term clinical curative effect of laproscopic operation for radical resection of colorectal carcinoma. Methods A total of 140 patients with colorectal carcinoma admitted to the affilated hospital of Inner Mongolia Medical University from Jan. 2014 to Jan. 2015. And all patients were divided into two groups, one was laparoscopy group （66 cases）, the other was laparotomy group （74 cases）. The surgical conditions, tumors, complications were compared between two groups. Results The operation time of the laparoscope group was longer than the laparotomy group （146.9±20） min vs （125.0±15） min, the blood loss （89.2±22） mL vs （149.1±27） mL, incision length （5.18±1.45） cm vs （9.73±1.71） cm, postoperative activity time （5.2±1.4） d vs （6.5±1.7） d, exhaust time （2.9±0.8） d vs （3.6±1.2） d, defecating time （4.0±2.0） d vs （5.4±2.0） d, eating time （2.0±1.5） d vs （3.6±1.1） d,abdominal distension （2.6±0.5） d vs （4.0±0.8） d of laparoscope group were better than the laparotomy group （P 〈 0.05）. There was no significant diference in the size of tumors, the resection length of colorectal carcinoma, the amount of lymph node dissection and the rate of complications between two groups. Conclusion Laproscopic operation, safe and effective in radical resection of colorectal carcinoma and reducing patients pains, shortening recovery time, was worth generalizing and applying.

关 键 词：腹腔镜 结直肠癌根治术 疗效 

分 类 号：R735.34[医药卫生—肿瘤]