腹腔镜与开腹结直肠癌根治术疗效分析

目的：探讨结直肠癌行腹腔镜手术治疗的可行性及疗效。方法：对47例行腹腔镜与开腹结直肠根治术患者的临床资料进行回顾性分析。结果：开腹组25例，腹腔镜组22例中有3例中转开腹手术。腹腔镜组术中出血量少于开腹组，但差异无湿著性（P〉0．05），术中输血例数腹腔镜组少于开腹组。术后肠道功能恢复时间明显早于开腹组（P〈0．05），术后住院天数短于开腹组（P〈0．05），手术时间腹腔镜组前期较开腹组长（P〈0．05）。两组肿瘤切除范同和淋巴结清扫、并发症无显著差异（P〉0．05）。两组切口均无肿瘤种植、近期死亡病例．局部复发各1例。结论：腹腔镜结直肠癌手术具有创伤小、术后恢复快、并发症少、住院时间短等优点，且符合肿瘤根治原则．可达到与开腹手术同样的根治性治疗效果。

Effective analysis of laparoscopic and conventrional open surgery for colorectal cancer

Objective:To explore the feasibility and short-term efficacy of laparoscopic surgery for colorectal cancer.Methods:The data of 47 colorectal cancer patients from March 2006 to March 2008 were analyzed retrospectively.Results:Among 47 cases,22 cases were performed laparoscopic surgery,25 cases were performed conventional operation. The laparoscopic group and open surgery group the had similar rate of radical surgery,the number of dissected lymphnodes,complication and recurrence(P>0.05).The laparoscopic group...