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目的探讨腹腔镜结直肠癌根治术的安全性及根治效果。方法选取2012年2月至2014年2月复兴医院收治的结直肠癌患者146例,采取非随机(患者自愿)的方式分为腹腔镜结直肠癌手术(试验组)74例及开腹手术(对照组)72例,对比两组患者的临床疗效。结果试验组与对照组比较,试验组在术中失血量[(86.1±10.7)ml vs.(145.8±27.7)ml]、术后下床活动时间[(1.3±0.5)d vs.(4.7±0.7)d]、术后住院天数[(5.8±1.1)d vs.(11.6±0.8)d]优于对照组,差异有统计学意义(P均<0.05);两组在手术时间、淋巴结清扫数量、术后局部复发、术后远处转移及术后3年的生存率比较,差异无统计学意义(P>0.05)。结论腹腔镜结直肠癌手术具有手术损伤小,术后恢复时间短的优点,且与开腹手术相比具有同样的安全性及肿瘤根治效果,在临床治疗上值得进一步推广。
Objective To investigate the safety and curative effect of laparoscopic radical mastectomy for colorectal cancer. Methods A total of 146 patients with colorectal cancer admitted to Fuxing Hospital from February 2012 to February 2014 were randomly divided into laparoscopic colorectal cancer surgery group (n = 74) and laparotomy group (n = Control group) 72 cases, comparing the clinical efficacy of two groups of patients. Results Compared with the control group, the blood loss in the experimental group was (86.1 ± 10.7) ml vs. (145.8 ± 27.7) ml, and the time to bed ambulation was (1.3 ± 0.5) d vs. (4.7 ± 0.7) d], and the number of postoperative hospital stay [(5.8 ± 1.1) d vs. (11.6 ± 0.8) d] was significantly better than that of the control group (all P <0.05). The operative time, lymph node dissection There was no significant difference in the number of postoperative local recurrence, postoperative distant metastasis and postoperative 3 years survival rate (P> 0.05). Conclusions Laparoscopic colorectal surgery has the advantages of small operation injury and short recovery time after operation, and has the same safety and tumor curative effect compared with laparotomy. It is worth further promotion in clinical treatment.