腹腔镜结肠癌根治术的临床评估

目的 探讨腹腔镜结肠癌根治术的临床疗效.方法 选取该院收治的结肠癌患者94例,随机分为对照组和实验组两组,对照组行开腹结肠癌根治术,实验组行腹腔镜结肠癌根治术,观察两组患者的手术情况、并发症发生率及存活率.结果 两组患者术中出血量、术后排气时间、住院时间比较,实验组均少于对照组,差异有统计学意义（P＜0.05）;淋巴结清除数、手术时间比较,差异无统计学意义（P＞0.05）,两组并发症发生率比较,实验组明显小于对照组,差异有统计学意义（P＜0.05）,术后存活率比较差异无统计学意义（P＞0.05）.结论 腹腔镜结肠癌根治术具有创伤小、恢复快的优点,安全、有效,值得临床推广应用.

Clinical Assessment of Laparoscopic Radical Resection of Colon Cancer

Objective To investigate the clinical efficacy of laparoscopic radical resection for patients with colon cancer. Methods 94 patients with colon cancer admitted in our hospital were randomly divided into control group （n=47） and experimental group （n= 47）. The control group was treated with open resection of colon cancer, and the experimental group was treated with laparoscopic radical resection of colon cancer. Observations were carried out about the patients＂ surgery, the incidence of complications and survival rate in both groups. And the clinical efficacy of laparoscopic radical resection of colon cancer was discussed. Results The intraoperative blood loss of the patients in the experimental group was less than that of the patients in the control group, and postoperative exhaust time and average stay length were shorter than those of the patients in the control group, the differences were statistically significant （P〈0.05）;There were no statistical differences i br operation time and number of lymph node dissection of the patients in both groups （P〉0.05）. The incidence of postoperative complications of the experimental group was significantly lower than that of the control group, the difference between the two groups was statistically significant （P〈0.05）. The postoperative survival rate compared between the groups showed no statistical significance （P〉0.05）. Conclusion Laparoscopic radical resection of colon cancer has the advantages of minimal invasion, quick recovery, safety and effectiveness, and which is worthy of clinical application.