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目的:探讨腹腔镜辅助与传统手术治疗结肠癌的短期疗效。方法:回顾分析16例腹腔镜辅助下结肠癌根治术(腹腔镜组)及20例传统结肠癌根治术(开腹组)的临床资料,对比两组患者手术及术后情况。结果:腹腔镜组切口长度、术后止痛时间、下床活动时间、胃肠道功能恢复时间、住院时间均优于开腹组,差异均有统计学意义(P<0.01),但开腹组手术时间、住院费用优于腹腔镜组,差异有统计学意义(P<0.05);两组患者术中出血量、淋巴结清除数量差异均无统计学意义(P>0.05)。结论:腹腔镜辅助右半结肠癌根治术安全、可行,具有患者创伤小、术后康复快的优点,根治效果可达到开腹手术的水平。
Objective: To investigate the short-term efficacy of laparoscopic-assisted and traditional surgery in the treatment of colon cancer. Methods: The clinical data of 16 patients with laparoscopic-assisted radical mastectomy (laparoscopic group) and 20 patients with conventional colon cancer radical mastectomy (open group) were retrospectively analyzed. The operation and postoperative conditions were compared between the two groups. Results: The length of laparoscopic incision, postoperative analgesia time, ambulation time, gastrointestinal function recovery time and hospital stay were all better than those in open group (P <0.01) The operation time and hospitalization cost were superior to those of laparoscopic group (P <0.05). There was no significant difference between the two groups in the amount of bleeding and lymph node clearance (P> 0.05). Conclusions: Laparoscopic-assisted radical resection of right colon cancer is safe and feasible. It has the advantages of small trauma and rapid postoperative recovery. The curative effect of laparoscopy can reach the level of open surgery.