三孔腹腔镜对比传统五孔腹腔镜用于结直肠癌手术的临床疗效差异性分析  

Comparison of Clinical Efficacy of Three-hole Laparoscopy in Patients with Colorectal Cancer Treated with Traditional Five-hole Laparoscopy

作　　者：王钊[1] 彭林涛[1] 许书清[1] WANG Zhao,PENG Lintao,XU Shuqing.(Xingtai People＇s Hospital,Xingtai,05400)

机构地区：[1]河北省邢台市人民医院,054000

出　　处：《实用癌症杂志》2018年第4期621-624,共4页The Practical Journal of Cancer

摘　　要：目的分析三孔腹腔镜对比传统五孔腹腔镜用于结直肠癌手术的临床疗效差异性。方法按照患者性别、年龄、肿瘤分化程度、BMI、TNM分期逐一配对,选取结直肠癌患者104例,其中行传统五孔腹腔镜治疗(五孔组)与行三孔腹腔镜治疗(三孔组)各52例。对比分析2组患者的手术指标、病理参数、术后恢复情况、经济学指标与血清学指标。结果三孔组的手术时间、材料费、IL-17浓度优于五孔组(P<0.05);而术中出血量、术中并发症、术后住院天数、并发症例数、术后进食时间、住院总费用、医药费用、手术费用、TGF-β水平与五孔组比较,差异无统计学意义(P>0.05);2组患者手术切除标本边缘病理学检查均为阴性,标本长度、清扫淋巴结数量、远近端切缘长度差距不大,差异均无统计学意义(P>0.05)。结论在针对结直肠癌的手术治疗中,三孔腹腔镜较传统五孔腹腔镜更有优势,能够缩短手术时间,改善患者术后恢复情况,并显著减少患者住院费用。Objective To analyze the difference of clinical efficacy between three-hole laparoscopy and traditional five- hole laparoscopy in coloreetal cancer patients. Methods 104 patients with colorectal cancer were selected according to the gen- der, age, degree of tumor differentiation, BMI and TNM staging. The traditional five hole laparoscopic treatment （ five hole group ） and three（ three laparoscopic treatment group ） were 52 cases respectively. The operation parameters, pathological parameters, postoperative recovery, economic indicators and serological indexes were compared and analyzed between the 2 groups. Results Three groups of The operation time, the cost of materials and the concentration of IL-17 of three groups is better than five holes （ P 〈 0.05 ）. The intraoperative blood loss, intraoperative complications, postoperative hospital stay, complications, postoperative eat- ing time,total hospitalization expenses, medical expenses, operation cost, TGF- beta level and five hole group, the difference was not statistically significant （ P 〉 0.05 ）. The marginal pathological examination of the resected specimens was negative, and the length of specimen ,the number of dissected lymph nodes and the length of proximal and distal incisal margin were not significantly differentin in the 2 groups,There was no significant difference between the two groups （ P 〉 0.05 ）. Conclusion In the surgical treatment of eolorectal cancer, the three-laparoscopic laparoscopie approach is more advantageous than the traditional five-hole laparoscopy ,which can shorten the operation time,improve the postoperative recovery and significantly reduce the hospitalization cost, and can be applied to clinical improvement quality of life of patients.

关 键 词：三孔腹腔镜 五孔腹腔镜 结直肠癌 

分 类 号：R735.35[医药卫生—肿瘤] R735.37[医药卫生—临床医学]