腹腔镜结肠癌根治术与开腹结肠癌根治术临床疗效分析

目的探讨腹腔镜结肠癌根治术的临床疗效及应用价值。方法 72例结肠癌患者随机分为两组,各36例。观察组采用腹腔镜结肠癌根治术,对照组采用开腹结肠癌根治术,观察两组患者手术情况及并发症情况。结果两组手术时间、淋巴结清扫数差异无统计学意义(P>0.05);观察组术中出血量少于对照组(P<0.01);观察组术后排气时间及住院时间均短于对照组(P<0.01);两组并发症发生率差异无统计学意义(P>0.05)。结论腹腔镜结肠癌根治术具有创伤小、出血少、恢复快等优点,且与开腹手术具有同样的手术效果,值得临床推广应用。

Clinical contrastive analysis of laparoscopic radical operation and laparotomy in the treatment of colorectal cancer

Objective To investigate the clinical values and significance of laparoscopic radical operation in the treatment of colorectal cancer. Methods Seventy-two patients with colorectal cancer were randomly divided into observation group （ n = 36） and treated with laparoscopic radical operation and control group （ n = 36） and treated with laparotomy. Observations were carried out about the patientsgurgery and complications in both groups. Results There was no statistical differences for operation time and number of lymph node dissection of the patients in both groups （ P 〉 0.05 ）. The intraoperative blood loss, postoperative exhaust time and average stay length of the patients in the observation group were significantly lower and shorter than those of the patients in the control group （ P 〈 0. 05）. There was no statistical difference in the complications incidence of the patients in both groups （ P 〉 0. 05 ）. Conclusion Laparoscopic radical operation has the advantages of minimal invasion, less blood loss and quick recovery and has the same operative effects as that of laparotomy.