腹腔镜结直肠癌根治术患者围术期机体代谢及胃肠功能的变化观察  

Observation of the Change of Body Metabolism and Gastrointestinal Function of Laparoscopic Radical Resection of Colorectal Cancer During the Perioperative Period

作　　者：王建锋[1] 王耿泽[1] 张海洋[1] 杨玉兵 历冰 WANG Jianfeng;WANG Gengze;ZHANG Haiyang(Nanyang Hospital/Nanyang Central Hospital Affiliated to Zhengzhou University,Zhengzhou,47300)

机构地区：[1]郑州大学附属南阳医院、南阳市中心医院,473000

出　　处：《实用癌症杂志》2018年第9期1499-1501,共3页The Practical Journal of Cancer

摘　　要：目的观察腹腔镜结直肠癌根治术患者围术期机体代谢及胃肠功能的变化情况。方法将行根治术治疗的56例结直肠癌患者作为研究对象,将56例手术患者随机分为对照组(常规开腹手术组)28例和观察组(腹腔镜手术组)28例。检测与比较两组手术患者围术期的蛋白代谢指标、脂代谢指标及胃肠功能指标。结果术前两组患者的蛋白代谢指标、脂代谢指标及胃肠功能指标均无明显差异(P均>0.05),而术后两组的蛋白代谢指标、脂代谢指标及胃肠功能指标均存在显著性差异,且观察组均显著地好于对照组(P均<0.05)。结论腹腔镜结直肠癌根治术患者围术期机体代谢及胃肠功能指标波动小于开腹手术,因此认为腹腔镜根治术更为适用于结直肠癌患者。Objective To observe the change situation of body metabolism and gastrointestinal function of patients with laparoscopic radical resection of colorectal cancer during the perioperative period. Methods 56 patients with colorectal cancer who were treated with radical resection were selected,and 56 surgical patients were randomly divided into the control group（ conventional open surgery group） and the observation group（ laparoscopic surgery group）,each group with 28 cases,then protein metabolism indexes,lipid metabolism indexes and gastrointestinal function indexes of surgical patients in the 2 groups during the perioperative period were detected and compared. Results The protein metabolism indexes,lipid metabolism indexes and gastrointestinal function indexes of surgical patients in the 2 groups before the surgery had no obvious differences（ all P〉0. 05）,while the protein metabolism indexes,lipid metabolism indexes and gastrointestinal function indexes of surgical patients in the 2 groups after the surgery all had significant differences,and the results of the observation group were significantly better than those of the control group（ all P〈0. 05）. Conclusion The body metabolism and gastrointestinal function indexes＇ fluctuations of patients with laparoscopic radical resection of colorectal cancer during the perioperative period are smaller than those of open surgery,so the laparoscopic radical resection is more suitable to the patients with colorectal cancer.

关 键 词：腹腔镜手术 开放式手术 结直肠癌根治术 围术期 机体代谢 胃肠功能 

分 类 号：R735.3[医药卫生—肿瘤]