腹腔镜根治术与传统开腹手术治疗结肠癌效果及安全性对比研究

摘要

ObjectiveTo compare the clinical effects of laparoscopic radical surgery and traditional open surgery on patients with efficacy cancer of colon.MethodA total of 190 patients with colon cancer in our hospital from May 2012 to August 2013 were selected as the research objects and were divided into experimental group and control group. Control group patients were treated with traditional open surgery, while experimental group received laparoscopic radical surgery. Recorded the operation time, intraoperative blood loss, lymph node dissection, hospital stay, recovery time of gastrointestinal function, as well as the occurrence of short and long term postoperative complications of each group.ResultCompared with control group, experimental group patients had less blood loss, shorter hospital stay, shorter recovery time of gastrointestinal function and low incidence of intestinal obstruction (P<0.05). There were no differences of lymph node dissection, operation time, infection of incisional wound, metastasis and recurrence between the two groups. ConclusionLaparoscopic radical surgery is a safe and effective surgical method for patients with colon cancer, with the benefit of less blood loss, shorter hospital stay and recovery of gastrointestinal function time, worth popularizing.%目的：对比研究腹腔镜根治术及传统开腹手术治疗结肠癌的效果和安全性。方法选取2012年5月至2013年8月于本院行结肠癌手术的190例患者为研究对象，随机分为对照组和试验组，对照组患者行传统开腹手术，试验组患者行腹腔镜根治术。记录两组患者的手术时间、术中出血量、淋巴结清扫数、住院天数、胃肠功能恢复时间以及近、远期术后并发症发生率。结果与对照组比较，试验组患者术中出血量少、住院天数短、胃肠道功能恢复快、肠梗阻发生率低（P＜0.05）。两组患者手术时间、淋巴结清扫数以及切口感染、局部复发、远处转移的发生率比较均无显著差异（P＞0.05）。结论与传统开腹手术对比，腹腔镜根治术具有术中出血量少、胃肠功能恢复快及住院时间短等优点，是一种安全有效的手术方式，值得临床推广应用。