对比腹腔镜手术与开腹手术在结肠癌根治术中的临床疗效  

Comparison of Clinical Efficacy of Laparoscopic Surgery and Open Surgery in Colon Cancer Radical Surgery

作　　者：庄咏 杨春康[1] 吴贤毅[1] 简锦亮 官申[1] 陈昌江[1] 

机构地区：[1]福建医科大学附属肿瘤医院胃肠外科,福建福州350014

出　　处：《中国卫生标准管理》2017年第24期66-68,共3页China Health Standard Management

摘　　要：目的对比腹腔镜手术与开腹手术在结肠癌根治术中的临床疗效。方法回顾性分析2012年5月—2014年5月我科收治的结肠癌患者80例,依据结肠癌根治术术式将这些患者分为腹腔镜手术组(n=40)和开腹手术组(n=40)两组,对两组患者的术中术后指标、术后并发症发生情况、复发情况及1年、2年、3年生存情况进行统计分析。结果腹腔镜手术组患者的手术时间、术后胃肠功能恢复时间、住院时间均短于开腹手术组(P<0.05),术中出血量少于开腹手术组(P<0.05),术后并发症发生率10.0%(4/40)低于开腹手术组27.5%(11/40)(P<0.05),复发率2.5%(1/40)低于开腹手术组15.0%(6/40)(P<0.05)。结论腹腔镜手术在结肠癌根治术中的临床疗效较开腹手术显著。Objective To compare the clinical efficacy of laparoscopic surgery and open surgery in colon cancer radical surgery. Methods From May 2012 to May 2014, 80 patients with colorectal cancer were divided into laparoscopic group （n=40） and open surgery group （n=40） according to colorectal cancer radical surgery in two groups, the two groups of patients with postoperative indicators, postoperative complications, recurrence and 1 year, 2 years, 3 years of survival were calculated. Results The operation time, postoperative gastrointestinal function recovery time and length of hospital stay in laparoscopic surgery group were significantly shorter than those in open surgery group （P 〈 0.05）. The intraoperative blood loss was significantly less than that in open surgery group （P 〈0.05）. The postoperative complication rate was 10.0% （4/40）, lower than the laparotomy group of 27.5% （11/40） （P 〈 0.05）, the recurrence rate was 2.5% （1/40）, lower than the laparotomy group of 15.0% （6/40） （P 〈 0.05）. Conclusion The clinical effect of laparoscopic surgery in colorectal cancer is significantly higher than that of open surgery.

关 键 词：腹腔镜手术 开腹手术 结肠癌根治术 临床疗效 

分 类 号：R735[医药卫生—肿瘤]