腹腔镜结直肠癌根治术与传统开腹手术比较分析

目的:分析腹腔镜结直肠癌根治手术与传统开腹术治疗结直肠癌的临床效果,探讨腹腔镜手术的特点及优势,为临床外科手术提供参考。方法:选择2009年7月至2013年5月在我院进行腹腔镜手术的186例结直肠癌患者的临床资料进行分析,并与择期接受开腹手术的181例结直肠癌患者的临床效果进行对比。比较两组患者的平均手术时间、平均术中出血量、术后肛门排气时间、下床活动时间、平均住院时间及并发症的发生率等。结果:与传统手术组相比,腹腔镜组患者的平均手术时间短、平均术中出血量少、术后肛门排气时间早、平均住院时间短,差异显著且具有统计学意义(P0.05);腹腔镜组患者术后出现下肢静脉血栓1例、皮下气肿9例、高碳酸血症8例,并发症的发生率为7.14%;传统手术组术后出现切口感染10例、消化道出血13例,吻合口漏11例、并发症的发生率为12.90%。腹腔镜根治术患者术后并发症的发生率明显低于传统开腹手术组,差异具有统计学意义(P0.05);腹腔镜组患者的平均住院时间为(8.34±2.12)天,明显短于传统开腹手术组的(11.58±1.98)天,差异具有统计学意义(P0.05)。结论:腹腔镜结直肠癌根治术具有很好的临床效果,术中出血少、术后恢复快,能够减少手术对患者机体造成的损伤,值得临床推广应用。

Comparative Analysis on the Clinical Effects of Laparoscopic and Open Surgery on the Colorectal Cancer

Objective:To investigate the clinical effects of different methods for the patients with colorectal cancer and to analyze the advantages of the laparoscopic surgery so as to provide a basis for clinical research and practice.Methods:A retrospective analysis was performed about the clinical data of 28 patients with colorectal cancer who were treated by the laparoscope in our hospital from July 2009 to May 2013 were selected to be the study objects. And another 31 patients with colorectal cancer who were treated by the open surgery in our hospital were chosen to be the control group. Then the average blood loss, the operation time, the postoperative exhaustion time, the incidence of complications and the hospitalization of patients in the two groups were compared and analyzed.Results:The blood loss, the operation time, the time for exhaustion and the hospitalization of patients in the laparoscopic group were obviously better than those of the patients in the conventional group with statistically significant differences (P<0.05). There was statistically significant difference about the incidence of postoperative complications between the two groups (P<0.05).Conclusion:It is indicated that the laparoscopic surgery should be well promoted to the clinical field with the advantages of the minimally invasive trauma, less blood loss and better recovery which is suitable for the patients with colorectal cancer to make the contribution to minimizing the damages brought by the operation.