腹腔镜辅助及开腹手术在结直肠癌中的近期临床疗效比较  

Comparison of the Short-term Clinical Efficacy of Laparoscopic-Assisted and Open Radical Resection of Colorectal Cancer

作　　者：王正林[1] 

机构地区：[1]安徽医科大学第一附属医院普外科,安徽合肥230032

出　　处：《中国现代手术学杂志》2017年第6期401-405,共5页Chinese Journal of Modern Operative Surgery

摘　　要：目的探讨腹腔镜辅助手术及开腹手术在结直肠癌患者中的近期临床疗效。方法本研究采用回顾性病例对照研究,将2015年6月至2017年2月本院收治的80例结直肠癌患者分为腹腔镜辅助组和开腹组,每组40例,分别实施腹腔镜辅助结直肠癌根治术和开腹结直肠癌根治术。比较两组手术相关指标,术后并发症发生情况及标本肿瘤学指标。结果腹腔镜辅助组手术时间长于开腹组,住院总费用明显多于开腹组,切口长度明显短于开腹组,术中出血量明显少于开腹组,术后首次排气及排便时间、开始进流食时间、下床活动时间均明显早于开腹组,术后住院时间明显短于开腹组,术后并发症总发生率明显低于开腹组,经比较差异有统计学意义(P<0.01)。两组标本肿瘤学指标比较均无明显统计学差异(P>0.05)。结论腹腔镜辅助结直肠癌根治术可降低术后并发症发生率、缩短住院时间、促进患者术后胃肠功能的恢复。Objective To explore the short-term clinical efficacy of laparoscopic-assisted and open radical resection of colorectal cancer. Methods From June 2015 to February 2017,80 patients with colorectal cancer treated in our hospital were divided into laparoscopic-assisted and open radical resection groups,with 40 cases for each. Laparoscopic-assisted or open radical resection were performed for each group. The operation indices of the two groups were compared,such as the postoperative complications and oncology indices. Results In the laparoscopic-assisted group,operation time and hospitalization costs were significantly higher than that of open radical resection group（P 0. 01）. The incision length and intraoperative blood loss were significantly less than that of the open radical resection group（P 0. 01）. First exhaust and defecation time,first feeding time,and off-bed activity time were significantly earlier than the open radical resection group（P 0. 01）. The postoperative hospitalization was significantly shorter than the open radical resection group（P 0. 01）,and the postoperative complication rate was significantly lower than that of the open radical resection group（P 0. 01）. There was no statistically significant difference between the two groups of the indices of oncology. Conclusion Laparoscopic-assisted resection of colorectal cancer can reduce the incidence of postoperative complications,shorten hospital stay,and promote the recovery of gastrointestinal function.

关 键 词：结直肠肿瘤 腹腔镜检查 

分 类 号：R735.34[医药卫生—肿瘤]