摘要
目的:探讨腹腔镜手术在结肠癌治疗中的安全性、有效性。方法:对30例患者行腹腔镜结肠癌根治术(腹腔镜组),选取同期相同数量的开腹手术患者作为开放组。比较两组的手术时间、出血量、组织病理学、术后并发症及肠道功能恢复情况。结果:腹腔镜组2例中转开腹,组织病理学两组无统计学差异(淋巴结清扫数量P=0.903;远侧缘P=0.306;近侧缘P=0.899),手术时间、出血量、术后住院天数、肠道功能恢复等,两组具有统计学差异(P<0.05)。结论:腹腔镜结肠癌手术创伤小,可达到开腹同样的根治切除效果,具有明显的近期临床疗效。
Objective To explore the safety and effectiveness of laparoscopic surgery in the surgical treatment of colon cancer.Methods Thrity patients received laparoscopic surgery for colon cancer,and the same number of randomized patients received open surgery,as an open group.The short-term effects of two groups were respectively compared,including operation time,blood loss,pathologic data,postoperative complications and postoperative recovery of intestinal function.Results Both laparoscopic group and open group were 28 cases,but 2 cases converted to open were analyzed independently.In histopathology,there were no significant differences between the two groups （number of lymph nodes cleared up P= 0.903;distal margin P= 0.306;proximal margin P= 0.899）.The operation time,blood loss,postoperative morbidity,postoperative hospital stay,postoperative intestinal function recovery between the laparoscopic group and open group were of statistical differences.Conclusions Laparoscopic surgery in colon cancer could minimize injury and achieve the same radical healing effect as the open one with apparently short-term clinical results.
出处
《中国中西医结合外科杂志》
CAS
2011年第2期143-145,共3页
Chinese Journal of Surgery of Integrated Traditional and Western Medicine
关键词
腹腔镜
结肠癌
手术方法
laparoscopy
colon cancer
surgical method
