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目的:探讨腹腔镜手术在结肠癌的诊治中的作用。方法:对腹腔镜下结肠癌手术45例与开腹结肠癌手术32例患者的一般资料和术中失血量、手术时间、术中淋巴结清扫数、切缘肿瘤细胞阳性情况,及术后的住院时间、需要止痛的时间、可以进食的时间、1年生存率等进行比较。结果:实验组术中失血量、术后住院时间、需要止痛的时间、可以进食的时间分别为(162.4±10.5)ml、(9.70±1.68)d、(1.4±0.4)d、(2.3±0.5)d,对照组分别为(196.5±45.2)ml、(12.98±1.54)d、(2.8±0.5)d、(4.0±1.3)d,两组比较,差异有统计学意义(P<0.05)。在手术时间、淋巴结清扫数、切缘阳性率、1年生存率方面,实验组分别为(165.4±10.5)min、(10±2)枚、0%、100%,而对照组为(163.5±11.4)min、(10±2)枚、0、100%,两组比较,差异无统计学意义(P>0.05)。结论:腹腔镜手术和开腹手术在治疗结肠癌方面比较起来,腹腔镜手术是一种安全有效的手术方式,具有出血量少,恢复快等优点。
Objective: To investigate the role of laparoscopic surgery in the diagnosis and treatment of colon cancer. Methods: The general data of 45 cases of laparoscopic colon cancer surgery and 32 cases of open colon cancer surgery and intraoperative blood loss, operative time, number of lymph node dissection, positive margins of tumor cells, and postoperative hospitalization Time, time to pain, time to eat, 1-year survival rate, etc. Results: The intraoperative blood loss, postoperative hospital stay, pain relief time and eating time were (162.4 ± 10.5) ml, (9.70 ± 1.68) d, (1.4 ± 0.4) d, (2.3 ± 0.5) ) d, and the control group was (196.5 ± 45.2) ml, (12.98 ± 1.54) d, (2.8 ± 0.5) d and (4.0 ± 1.3) d respectively. There was significant difference between the two groups (P <0.05). The number of lymph nodes, the positive rate of cut margin and the one-year survival rate in the experimental group were (165.4 ± 10.5) min, (10 ± 2), 0% and 100%, respectively, while those in the control group were (163.5 ± 11.4) min, (10 ± 2), 0, 100% respectively. There was no significant difference between the two groups (P> 0.05). Conclusion: Laparoscopic surgery and laparotomy in the treatment of colon cancer in comparison, laparoscopic surgery is a safe and effective surgical approach, with less bleeding, rapid recovery and so on.