腹腔镜结肠癌根治术对患者术后胃肠功能影响.docVIP

腹腔镜结肠癌根治术对患者术后胃肠功能影响 　　[摘要] 目的 探讨腹腔镜结肠癌根治术对患者术后胃肠功能的影响。 方法 选择2013年12月～2015年12月行腹腔镜结肠癌根治术患者30例，设立为腹腔镜组，另外选择同期行开腹手术治疗的30例结肠癌患者作为对照组，比较和分析两组患者的排气时间、术中出血量、肠鸣音恢复时间、术后的腹胀程度及术后并发症情况，包括切口脂肪液化、感染、吻合口漏、肠粘连。 结果 腹腔镜组患者的术中出血量明显少于对照组，且腹腔镜组的排气时间、肠鸣音恢复时间明显短于对照组。秩和检验结果显示，腹腔镜组患者腹胀程度轻于对照组（u=2.352，P0.05）。两组患者均顺利完成手术，均未发生麻醉意外和手术意外，无死亡病例。腹腔镜组术后并发症发生率显著低于对照组，差异具有统计学意义（P0.05）。结论 腹腔镜结肠癌根治术疗效确切，术中出血少，能够促进胃肠功能恢复且并发症少，值得推广和应用。 　　[关键词] 腹腔镜；结肠癌根治术；肠鸣音；腹胀程度；并发症 　　[中图分类号] R735.35 [文献标识码] B [文章编号] 1673-9701（2016）12-0033-03 　　Effect on gastrointestinal function of laparoscopic surgery in treatment of colon cancer patients postoperative 　　WU Gang1 LV Ming2 　　1.Hainan Frontier Corps Hospital， Haikou 570208， China； 2.Haikou City Peoples Hospital， Haikou 570208， China 　　[Abstract] Objective To investigate the impact on gastrointestinal function of laparoscopic surgery in treatment of colon cancer patients postoperative. Methods From December 2013 to December 2015， laparoscopic colorectal cancer radical 30 patients were set up as the laparoscopic group， and selected laparotomy in the treatment of 30 cases of colon cancer patients as control group， the exhaust time， intraoperative blood loss， bowel sounds recovery time， the degree of postoperative abdominal distension and postoperative complications， including incision fat liquefaction and infection， anastomotic leakage， intestinal adhesion were analyzed and compared between two groups. Results Laparoscopic group of patients with intraoperative bleeding was significantly less than that of the control group， and laparoscopic exhaust time， borborygmus recovery time was significantly shorter than that of the control group（P0.05）. The laparoscopic group of patients with abdominal distension was lighter than the control group（u=2.352， P0.05）. Two groups of patients were successfully completed the operation， there was no anesthetic accident and operation accidents， no deaths. The postoperative complications of laparoscopic group were significantly lower