腹腔镜辅助下横结肠癌根治术与开腹手术临床疗效的对比研究

目的：对比腹腔镜辅助下横结肠癌根治术与开腹手术的临床疗效。方法收集青岛大学医学院附属医院自2007年2月～2013年5月行横结肠癌根治术59例分组进行统计学分析，其中腹腔镜辅助下横结肠癌根治术组（腹腔镜组）29例，开腹手术组（开腹组）30例，对两组病人的手术时间、失血量、清扫淋巴结数、切口长度、肠道功能恢复时间、住院时间、术后并发症、生存率、局部复发率、远处转移率等指标进行对比研究，采用SPSS11．0软件进行统计学分析。结果与开腹组相比，腹腔镜组病人失血量少、切口长度短、肠道功能恢复快、住院时间短、术后并发症少（P＜0．05）；两组病人在手术时间、清扫淋巴结数、住院费用、生存率、局部复发率、远处转移率等方面无统计学差异（P＞0．05）。结论腹腔镜辅助下横结肠癌根治术的临床疗效优于开腹手术，值得在临床推广。

Comparative Study on the Clinical Curative Effect of Laparoscopic Assisted Radical Resection of Transverse Colon and Open Operation

Objective To study comparatively the clinical curative effect of laparoscopic assisted radical resection of transverse colon and open operation .Methods Fifty-nine cases were selected for statistical analysis from the transverse colon cancer radical resection cases collected in Affiliated Hospital of Qingdao University Medical College from 2007 February to 2013 May,divided into laparoscopic assis-ted radical resection of transverse colon group （laparoscopy group,29 cases） and open operation group（30 cases）.Indicators of 2 groups in-cluding operation time,blood loss,number of excisional lymph nodes ,the length of incision,intestinal function recovery time ,hospitalization time,postoperative complications ,survival rate,local recurrence rate ,distant metastasis rate were studied comparatively .Statistical analysis was performed using SPSS11.0 software.Results Compared with the open operation group ,patients in laparoscopy group had less blood loss , shorter length of incision,less intestinal function recovery time,less hospitalization time,less postoperative complications（P〈0.05）;There were no statistical differences between 2 groups in operation time,number of excisional lymph nodes,hospitalization expenses,survival rate,lo-cal recurrence rate,distant metastasis rate（P〈0.05）.Conclusion The clinical curative effect of laparoscopic assisted radical resection of transverse colon is better than open operation ,and laparoscopic assisted radical resection of transverse colon is worth in the clinical promoted application .