手助腹腔镜与开腹结直肠癌根治手术对比研究  

A Comparative Surgical Study of Hand-Assisted Laparoscopic and Open Surgery in Clinical Therapeutic of Colorectal Cancer

作　　者：王新伟 郭澎[2] 

机构地区：[1]潍坊医学院外科学教研室,山东潍坊261053 [2]潍坊市人民医院肛肠外科

出　　处：《潍坊医学院学报》2017年第5期381-383,共3页Acta Academiae Medicinae Weifang

摘　　要：目的比较手助腹腔镜与开腹手术治疗结直肠癌患者的临床资料,分析并总结手助腹腔镜技术在治疗结直肠癌中的近远期临床效果。方法选取2009年11月~2016年5月在潍坊市人民医院肛肠外科治疗的217例结直肠癌患者,根据患者手术方式分为手助腹腔镜组和开腹手术组,比较两组患者的一般情况、手术时间、术中出血量、切口长度、淋巴结清扫数目、术后肠道功能恢复时间、术后住院时间、住院费用、术后并发症及转移复发率等。结果两组在一般情况、术后并发症及转移复发率等方面差异无统计学意义(P>0.05),在手术时间、术中出血量、切口长度、术后肠道功能恢复时间、术后住院时间等方面差异有统计学意义(P<0.05)。结论手辅助腹腔镜下结直肠癌根治术较开腹手术具有创伤小、术后恢复快、住院时间短等优点,在肿瘤切除及淋巴结清扫方面效果相当,是一种安全可靠的技术。Objective To analyze and summarize the short-term and long-term clinical effect of hand-assisted laparoscopic surgery with colorectal carcinoma patients. Methods A total of 217 patients with colorectal cancer from November 2009 to May 2016 in weifang people hospital were divided into two groups,including laparoscopic colorectal surgery group and open colorectal surgery group. The two groups were compared in general condition,operative time,estimated blood loss,incision length,number of lymph nodes,bowel function recovery time,hospitalization stay after surgery,hospitalization costs,postoperative complications and recurrence. Results There were no obvious differences in general condition,postoperative complications and recurrence（ P 〉0. 05）. The HALS group was significantly more dissimilar than OS group in operative time,estimated blood loss,incision length,bowel function recovery time,hospitalization stay after surgery. Conclusion Compared with OS,HALS offers less trauma,faster recovery,shorter hospital stay and so on. And in the tumor and lymph node dissection aspects,HALS can achieve the same effect as OS. It is safe and feasible in malignant colorectal tumors.

关 键 词：手助腹腔镜手术 开腹手术 结直肠癌 

分 类 号：R735.3[医药卫生—肿瘤]