腹腔镜结直肠癌同时性肝转移的手术疗效分析

目的探讨腹腔镜结直肠癌同时性肝转移的手术疗效。方法对2007年5月-2009年8月本院手术治疗的115例结直肠癌同时性肝转移患者进行回顾性分析,腹腔镜同时手术组56例,开腹同时手术组59例。结果两组均无手术后1月内死亡病例,1、3、5年累积生存率腹腔镜同时手术组分别为83.2%、41.2%和12.2%;开腹同时手术组分别为78.1%、42.4%和19.8%,两组差异无统计学意义（log-rank,P〉0.05）。两组手术并发症发生率腹腔镜同时组为23.21%,开腹同时组为11.86%（χ2,P〉0.05）。结论结直肠癌同时性肝转移患者行腹腔镜同时手术和开腹同时手术疗效相近,手术并发症无显著增加,腹腔镜同时手术是安全可行的。

Outcome in patients with colorectal cancer and liver metastasis after laparoscopy operation

Objective To study the outcome in patient with colorectal cancer and liver metastasis after laparoscopy operation.Methods One hundred and fifteen patients with colorectal cancer and liver metastasis admitted to our hospital from May 2007 to August 2009 were retrospectively analyzed.The patients were divided into laparoscopy operation group（n=56） and laparotomy group（n=59）.Results No death occurred in two groups within 1 month after operation.The 1-,3-and 5-year survival rate was 82.1%,41.5% and 14.6% respectively in laparoscopy operation group and 83.2%,41.2% and 12.2% respectively in laparotomy group（P 0.05）.The 1-,3-and 5-year survival rate was 78.1%,42.4% and 19.8% respectively in laparotomy group,which was not significantly different from that in laparoscopy operation group（P 0.05）.The incidence of complications was 23.21% in both groups whereas that in laparotomy group was 11.86%（P 0.05）.Of the 57 primary rectal cancer patients,33 underwent laparoscopic operation and 24 underwent laparotomy.No significant difference was found in the survival rates of these patients（P 0.05）.Conclusion The effect of laparoscopy operation and laparotomy is similar on colorectal cancer and liver metastasis with no significant complications,indicating that laparoscopy operation is a safe procedure for colorectal cancer and liver metastasis.