腹腔镜下结直肠癌根治术与开腹根治术的疗效比较

目的探讨腹腔镜下结直肠癌根治术与开腹根治术的疗效比较。方法回顾性分析西山煤电古交矿区总医院行结直肠癌根治术的108例结直肠癌患者的临床资料,根据手术方法的不同分为观察组（59例）和对照组（49例）,观察组采用腹腔镜根治术,对照组采用开腹根治术。结果两组患者均顺利完成手术,无一例死亡;观察组在手术时间、切除肠管长度、清扫淋巴结数量方面与对照组比较差异均无统计学意义（P〉0.05）,但观察组的术中出血量明显较对照组少（P〈0.05）,术后肛门排气时间、进食时间、住院时间均明显较对照组缩短（P〈0.05）,且术后并发症发生率明显低于对照组（P〈0.05）。结论腹腔镜根治术和开腹根治术治疗结直肠癌均可获得较好的根治效果,但腹腔镜根治术更具优势,能够明显缩短术后肠道功能恢复时间及住院时间,且出血少、创伤小,可作为结直肠癌的首选方法。

The curative effect comparison of laparoscopic and open radical resection for colorectal cancer

Objective To investigate curative effect of laparoscopic and open radical resection for colorectal carcinoma. Methods Clinical date of 108 patients with colorectal cancer after radical resection in Xishan Coal Gujiao Mining Area General Hospital of Shanxi Province were retrospectively reviewed. And according to different surgical methods, the patients were divided into observation group （59 cases） and control group （49 cases）. The laparoscopic radical resection was performed in the observation group of, while open radical resection was performed in the control group. Results The surgeries were all successfully completed in patients of two groups and no death happened. There were no statistical significant difference in the operation time, length of removed bowel loops and dissected lymph node number between observation group and control group （P 0.05）. But the intraoperative blood loss of the observation group was obviously less than control group （P 0.05）. And postoperative anal exhaust time, feeding time, length of hospitalization time were all significantly shorter in observation group （P 0.05）. Also the incidence of postoperative complications of observation group was lower （P 0.05）. Conclusion The curative effects of laparoscopic and open radical resection on colorectal cancer are all good. But the laparoscopic radical resection has more advantages, which can obviously reduce the recovery time of postoperative intestinal function and hospitalization time with less bleeding and small trauma. The laparoscopic radical resection can be used as the preferred treatment method for colorectal cancer.