腹腔镜手术应用于不同分期结肠癌的临床疗效分析

目的探讨腹腔镜手术应用于不同分期结肠癌患者的临床疗效。方法选择2010年4月～2011年7月我院收治的180例结肠癌患者，将其随机分为观察组和对照组，每组90例，观察组患者采用腹腔镜手术治疗，对照组患者采用开腹手术进行治疗，比较两组患者的肿瘤分期及治疗后的远处转移、局部复发和远期并发症情况。结果对照组患者术后切口疝和肠梗阻等远期并发症的发生率均明显高于观察组（P〈0．05），而两组患者的远处转移、局部复发率及术后1年生存率差异无统计学意义（P〉0．05）。结论腹腔镜结肠癌手术应用于各分期的结肠癌患者均可获得较好的临床疗效，且远期并发症发生率降低，值得临床推广应用。

Analysis of the Clinical Efficacy of Laparoscopic Surgery in Different Stages of Colorectal Cancer

Objective To explore the clinical efficacy oflaparoscopic surgery applied to different stages of colorectal cancer. Methods 180 cases of colorectal cancer patients adnfitted in our hospital from April 2011 to July 2012 were randomly divided into the observation group （90 cases） and the control group （90 cases）. The observation group was treated with laparoscopic surgery for colorectal cancer and the control group was treated with traditional surgery. The tumor stage, distant metastasis after treatment, local recurrence and long-term complications of the two groups were compared. Results The incidence rate of long-term complications （incisional hernia and intestinal obstruction） in control group was significantly higher than that in the observation group （P〈 0.05）. No significant difference of the distant metastasis, local recurrence rate and 1 year survival rate was observed between the two groups （P〉0.05）. Conelusion The laparoscopic surgery was appropriate for various stages of colorectal cancer patients, which could obtain better clinical efficacy and have less long-term complications. So it was worthy of clinical application.