腹腔镜结直肠癌根治手术对患者生存期的影响.docVIP

腹腔镜结直肠癌根治手术对患者生存期的影响 　　[摘要] 目的 探讨腹腔镜结直肠癌根治手术对患者生存期的影响。 方法 选取本院收治的50例结直肠癌患者作为对象，回顾分析患者临床资料，按照手术方式的不同将患者分为开放组（n=25）、腹腔镜组（n=25），开放组给予开放手术治疗，腹腔镜组给予腹腔镜肠癌根治手术治疗，对比两组治疗的效果。 结果 术后2～3年，腹腔镜组患者的生存率明显比开放组高，数据对比差异明显（P0.05）；其中腹腔镜组远期并发症发生率为16.00%，明显低于开放组的48.00%，差异对比有显著性（P0.05）；腹腔镜组患者远期转移率和复发率明显要比开放组少，组间对比差异明显（P0.05）。 结论 应用开放、腹腔镜手术方式对结直肠癌进行治疗，远期疗效相似，但腹腔镜手术并发症发生率更低。 　　[关键词] 腹腔镜；结直肠癌；根治手术；患者；生存期 　　[中图分类号] R735.3 [文献标识码] B [文章编号] 1673-9701（2017）03-0040-03 　　Exploring the effect of laparoscopic radical resection of rectal cancer on the survival of patients 　　XU Shiyong 　　Department of General Surgery， Zhenjiang Traditional Chinese Medicine Hospital in Jiangsu Province， Zhenjiang 212003， China 　　[Abstract] Objective To investigate the effect of laparoscopic radical resection of rectal cancer on the survival of patients. Methods A total of 50 cases of colorectal cancer treated in our hospital were selected，and the clinical data of the patients were retrospectively analyzed. The patients were devided into two groups including open group（n=25） and laparoscopic group（n=25） according to the different surgical methods.Open group was given open surgery， and laparoscopic group was treated with laparoscopic radical cancer surgery.And the effect of treatment in two groups was compared. Results The survival rate of laparoscopic group was significantly higher than that of open group at 2 and 3 years after operation（P0.05）.The incidence of long-term complications in laparoscopic group was 16.00%， which was significantly lower than that in open group（48.00%）， and the difference was significant（P0.05）. The long-term metastasis rate and recurrence rate of laparoscopic group were significantly lower than those of open group（P0.05）. Conclusion The long-term efficacy is similar between open surgery and laparoscopic surgery in the treatment of colorectal cancer， but the incidence of laparoscopic surgery complications is lower. 　　[Key words] Laparoscopy； Colorectal cancer； Radical surgery； Patients