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目的探讨腹腔镜下结、直肠癌微创手术的临床疗效及对患者胃肠功能的影响。方法分析2014年7月至2015年5月期间我院收治的50例结、直肠癌患者的临床资料,根据手术方法不同,将患者分为腹腔镜组和开腹组各25例,比较两组患者的手术相关指标及术后并发症的发生情况。结果与开腹组相比,在手术时间及住院时间方面,腹腔镜组患者明显缩短(P<0.05),腹腔镜组患者淋巴结的清扫数目显著升高(P<0.05),同时,肠鸣音恢复时间、肛门排气时间及术后开始进食时间均显著降低(P<0.05)。腹腔镜组并发症发生率为12.00%(3/25),明显低于开腹组的40.00%(10/25),且差异有统计学意义(P<0.05)。结论腹腔镜下结、直肠癌微创手术临床疗效显著,能加快患者胃肠功能恢复,有效降低并发症的发生,可作为结、直肠癌治疗的首选术式。
Objective To investigate the clinical efficacy of laparoscopic minimally invasive surgery for rectal cancer and its effect on gastrointestinal function. Methods The clinical data of 50 patients with colorectal cancer who were treated in our hospital from July 2014 to May 2015 were analyzed. According to the different surgical methods, the patients were divided into laparoscopic group and open group, 25 cases each. Patients with surgery-related indicators and postoperative complications. Results Compared with the open group, the number of laparoscopic group was significantly shorter (P <0.05) and the number of lymph nodes was significantly increased in the laparoscopic group (P <0.05). At the same time, the bowel sounds Recovery time, anal exhaust time and postoperative start time were significantly reduced (P <0.05). The incidence of complications in laparoscopic group was 12.00% (3/25), which was significantly lower than that in open group (40.00%, 10/25) (P <0.05). Conclusions Laparoscopic minimally invasive surgery for rectal cancer has significant clinical curative effect, which can accelerate the recovery of gastrointestinal function and reduce the incidence of complications. It can be used as the first choice for the treatment of colorectal cancer.