腹腔镜根治术与传统开腹手术治疗结肠癌效果及安全性对比研究.PDFVIP

《中国医学前沿杂志 （电子版）》2016 年第8 卷第4 期 ● ●  73  论著  腹腔镜根治术与传统开腹手术治疗结肠癌 效果及安全性对比研究 宗殿亮 （沧州市人民医院　胃肠微创外科，河北　沧州　061014 ） 【摘要】目的 对比研究腹腔镜根治术及传统开腹手术治疗结肠癌的效果和安全性。方法 选取2012 年5 月至2013 年8 月于本院行结肠癌手术的190 例患者为研究对象，随机分为对照组和试验组，对 照组患者行传统开腹手术，试验组患者行腹腔镜根治术。记录两组患者的手术时间、术中出血量、淋 巴结清扫数、住院天数、胃肠功能恢复时间以及近、远期术后并发症发生率。结果 与对照组比较， P 试验组患者术中出血量少、住院天数短、胃肠道功能恢复快、肠梗阻发生率低 （ ＜0.05 ）。两组患者 P 手术时间、淋巴结清扫数以及切口感染、局部复发、远处转移的发生率比较均无显著差异 （ ＞0.05 ）。 结论 与传统开腹手术对比，腹腔镜根治术具有术中出血量少、胃肠功能恢复快及住院时间短等优点， 是一种安全有效的手术方式，值得临床推广应用。 【关键词】腹腔镜根治术；传统开腹手术；结肠癌 A comparative study on the efficacy and safety of laparoscopic radical operation and traditional open surgery in the treatment of colon cancer ZONG Dian-liang (Department of Minimally Invasive Gastrointestinal Surgery, Cangzhou Peoples Hospital, Hebei, Cangzhou 061014, China) Corresponding author: ZONG Dian-liang, E-mail: dsj fkj 12 12@ Abstract Objective 【 】 　To compare the clinical effects of laparoscopic radical surgery and traditional open surgery on patients with efficacy cancer of colon. Method　A total of 190 patients with colon cancer in our hospital from May 20 12 to August 20 13 were selected as the research obj ects and were divided into experimental group and control group. Control group patients were treated with traditional open surgery, while experimental group received laparoscopic radical surgery. Recorded the operation time, intraoperative blood loss, lymph node dissection, hospital stay, recovery time of gastrointestinal function, as well as the occurrence of short and long term postoperative complications of each group. Result　Compared with control group, experimental group patients had less blood loss, shor