摘要
目的探讨腹腔镜手术与传统开腹手术在结直肠癌根治术中的临床效果。方法回顾性分析山东能源淄矿集团中心医院普外科2014年2月~2016年3月收治的结直肠癌患者126例临床资料,依据手术治疗方式不同进行分组,传统开腹手术组63例和腹腔镜手术组63例。记录两组患者手术相关指标、术后恢复、肿瘤根治性指标、术后并发症情况。结果腹腔镜手术组患者术中出血量、切口长度均小于传统开腹手术组,手术时间、保肛率长于或高于传统开腹手术组,腹腔镜手术组结直肠癌根治术患者术后肛门排气时间、住院时间、留置引流管时间、留置尿管时间、进流质饮食时间、下床活动时间均短于传统开腹手术组,腹腔镜手术组结直肠癌根治术患者术后出血、感染发生率均低于传统开腹手术组,差异均有统计学意义(均P<0.05)。两组结直肠癌根治术患者淋巴结清扫数目、切除标本长度、肿瘤远端长度差异均无统计学意义(P>0.05)。结论在结直肠癌根治术中应用腹腔镜手术,术中创伤小,患者术后恢复较快,并发症发生率低,值得临床推广应用。
Objective To discuss the clinical effect of laparoscopic surgery and traditional laparotomy in colorectal cancer radical operation.Methods Clinical data of 126 cases with colorectal cancer treated in General Surgery Department,Center Hospital of Shandong Energy Zibo Mining Group from February 2014 to March 2016 were retrospective analyzed.According to surgical treatment methods, patiens were divided into the laparoscopic surgery group and traditional laparotomy gorup, each gorup had 63 cases.The operative indicators, postoperative recovery, cancer radical index and postoperative complications were recorded in the two groups.Results The peroperative bleeding, incision length of the laparoscopic surgery group were less than those of the traditional laparotomy gorup, the operation time and rate of sphincter-saving were longer or higher than those of the traditional laparotomy group, with statistically significant differences（P〈 0.05）.The postoperativeanus exhaust time, hospital stay, drainage tube time, urinary catheter time, liquid diet time, leaving bed time of the laparoscopic surgery group were shorter than those of the traditional laparotomy gorup,with statistically significant differences（P〈 0.05）.The incdence of postoperative bleeding and infection of the laparoscopic surgery group were lower than those of the traditional laparotomy gorup, with statistically significant differences（P 〈0.05）.There were no statistically significant differences in lymph node cleaning number, length of specimen excision, length of tumors distal end between the two groups（P 〉0.05）.Conclusion Compared with traditional laparotomy,application of laparoscopic surgery in colorectal cancer radical operation has less intraoperative trauma, faster postoperative recovery and lower complication incidence rate.It is worthy of clinical application.
作者
李斌
江媛
胡玉娟
LI Bin JIANG Yuan HU Yujuan(Department of General Surgery, Center Hospital of Shandong Energy Zibo Mining Group, Shandong Province, Zibo 255120, China)
出处
《中国医药导报》
CAS
2017年第17期88-91,共4页
China Medical Herald
关键词
腹腔镜手术
传统开腹手术
结直肠癌根治术
并发症
Laparoscopic surgery
Traditional laparotomy
Colorectal cancer radical operation
Complication
作者简介
通讯作者
