腹腔镜联合结肠镜微创治疗结直肠癌的近远期效果评价  

Short-term and long-term effects of laparoscopy combined with colonoscopy for minimally invasive treatment of colorectal cancer

作　　者：高山 GAO Shan(Department of Colorectal Surgery,Shenyang Anorectal Hospital,Shenyang 110000,China)

机构地区：[1]沈阳市肛肠医院结直肠外科,110000

出　　处：《中国现代药物应用》2021年第3期19-21,共3页Chinese Journal of Modern Drug Application

摘　　要：目的探究腹腔镜联合结肠镜微创治疗结直肠癌的近远期效果。方法68例结直肠癌患者,依据随机数字表法分为对照组和观察组,每组34例。对照组实施腹腔镜手术治疗,观察组实施腹腔镜联合结肠镜微创治疗。对比两组临床指标,并发症发生率,术后3、5年无瘤生存率。结果治疗后,观察组手术持续时间(138.82±20.69)min、引流管留置时间(5.74±2.61)d、住院时间(11.27±2.43)d短于对照组的(179.74±23.57)min、(8.84±2.39)d、(16.85±2.61)d,差异有统计学意义(P<0.05)。观察组并发症发生率2.94%低于对照组的23.53%,差异有统计学意义(P<0.05)。两组术后3年无瘤生存率比较差异无统计学意义(P>0.05);观察组术后5年无瘤生存率高于对照组,差异有统计学意义(P<0.05)。结论对结直肠癌患者实施腹腔镜联合结肠镜微创治疗具有良好效果。Objective To investigate the short-term and long-term effects of laparoscopy combined with colonoscopy for minimally invasive treatment of colorectal cancer.Methods A total of 68 patients with colorectal cancer were divided into control group and observation group according to random numerical table,with 34 cases in each group.The control group was treated with laparoscopy,and the observation group was treated with laparoscopy combined with colonoscopy minimally invasive treatment.The clinical indicators,incidence of complications,and tumor free survival rate at 3 and 5 years after operation were compared between the two groups.Results After treatment,the operation time(138.82±20.69)min,drainage tube indwelling time(5.74±2.61)d and hospitalization time(11.27±2.43)d of the observation group were shorter than(179.74±23.57)min,(8.84±2.39)d and(16.85±2.61)d of the control group,and the difference was statistically significant(P<0.05).The incidence of complications 2.94%of the observation group was lower than 23.53%of the control group,and the difference was statistically significant(P<0.05).There was no statistically significant difference in tumor free survival rate at 3 years after operation between the two groups(P>0.05).The tumor free survival rate at 5 years after operation of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion Laparoscopy combined with colonoscopy minimally invasive treatment has good effect for patients with colorectal cancer.

关 键 词：腹腔镜 结肠镜微创 结直肠癌 

分 类 号：R735.34[医药卫生—肿瘤]