腹腔镜手术与开腹手术在结直肠癌根治术的远期疗效比较
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摘要
目的比较腹腔镜手术与开腹手术在结直肠癌根治术的远期疗效。方法回顾性选取我院于2016年5月—2018年5月收治的80例结直肠癌患者,按随机数字表法将其分为A组和B组,每组40例,A组采用腹腔镜手术治疗,B组采用开腹手术治疗,观察比较两组患者手术情况、术后并发症情况及远期疗效。结果 A组手术时间为(75.5±13.5)min、术中出血量(109.6±4.9)mL、肠功能恢复时间(2.1±0.5)d、术后并发症发生率17.50%,局部复发率为2.50%,转移率为7.50%;B组手术时间为(101.2±51.6)min、术中出血量(131.7±49.8)mL、肠功能恢复时间(3.7±0.8)d、术后并发症发生率37.50%,局部复发率为15.00%,转移率为25.00%。A组各项指标显示均优于B组,P <0.05,差异均具有统计学意义。结论与开腹手术相比,对结直肠癌患者采取腹腔镜手术治疗的疗效更佳。
Objective To compare the long-term outcomes of laparoscopic and open radical resection for colorectal cancer. Methods 80 patients with colorectal cancer in our hospital from May 2016 to May 2018 were retrospectively selected. They were divided into group A and group B according to random number table method, each group with 40 cases, group A was treated with laparoscopy, and group B was treated with laparotomy. The operation, postoperative complications and long-term effect of the two groups were observed and compared. Results In group A, the operation time was(75.5 ± 13.5) min, the amount of bleeding during operation was(109.6 ± 4.9) mL, the recovery time of intestinal function was(2.1 ± 0.5) d, the incidence of complications was 17.50%, the local recurrence rate was 2.50%, and the metastasis rate was 7.50%. In group B, the operation time was(101.2 ± 51.6) minutes, intraoperative bleeding volume was(131.7 ± 49.8) mL, intestinal function recovery time was(3.7±0.8) days, the incidence of postoperative complications was 37.50%, local recurrence rate was 15.00%, and metastasis rate was 25.00%. The indexes of group A were better than those of group B, P < 0.05, the difference was statistically significant. Conclusion Compared with laparotomy, laparoscopic surgery is more effective for colorectal cancer patients.
Objective To compare the long-term outcomes of laparoscopic and open radical resection for colorectal cancer. Methods 80 patients with colorectal cancer in our hospital from May 2016 to May 2018 were retrospectively selected. They were divided into group A and group B according to random number table method, each group with 40 cases, group A was treated with laparoscopy, and group B was treated with laparotomy. The operation, postoperative complications and long-term effect of the two groups were observed and compared. Results In group A, the operation time was(75.5 ± 13.5) min, the amount of bleeding during operation was(109.6 ± 4.9) mL, the recovery time of intestinal function was(2.1 ± 0.5) d, the incidence of complications was 17.50%, the local recurrence rate was 2.50%, and the metastasis rate was 7.50%. In group B, the operation time was(101.2 ± 51.6) minutes, intraoperative bleeding volume was(131.7 ± 49.8) mL, intestinal function recovery time was(3.7±0.8) days, the incidence of postoperative complications was 37.50%, local recurrence rate was 15.00%, and metastasis rate was 25.00%. The indexes of group A were better than those of group B, P < 0.05, the difference was statistically significant. Conclusion Compared with laparotomy, laparoscopic surgery is more effective for colorectal cancer patients.
引文
[1]熊小勇,徐降兴,习举云.腹腔镜手术对比开腹手术在结直肠癌根治术中的安全性及远期疗效评估[J].实用癌症杂志,2016,31(10):1665-1668.
[2]王永平.结直肠癌患者腹腔镜根治术与开腹手术近远期疗效的比较[J].医疗装备,2017,30(14):118-119.
[3]周林荣,姚清深,李晓和.结直肠癌患者腹腔镜手术与开放手术安全性和远期疗效的比较[J].中国肿瘤临床与康复,2016,23(8):906-909.
[4]钱江,黎发家.腹腔镜结直肠癌根治术与开腹手术近远期临床疗效对比[J].现代诊断与治疗,2016,27(18):3429-3430.
[5]朱智军,朱一宁,梁杨眉.腹腔镜与开腹直肠癌根治术近期和远期疗效对比分析[J].中外医疗,2016,35(6):70-71.
[6]方壮伟,袁波,周卫平,等.开放手术与腹腔镜手术治疗直肠癌的安全性及远期疗效比较[J].中国临床研究,2016,29(10):1375-1377,1380.
[7]闫军,李亮.腹腔镜与传统开腹手术治疗直肠癌的安全性及远期疗效比较[J].标记免疫分析与临床,2015,22(2):109-112.
[8]高小平,王举,姜洪伟,等.探讨腹腔镜结直肠癌根治术和开腹手术的应用近远期疗效对比[J].世界最新医学信息文摘,2015,15(A4):89-90.
[9]李焱宁.开腹手术与腹腔镜手术治疗结直肠癌的远期疗效及患者生活质量的对比研究[J].腹腔镜外科杂志,2016,21(10):768-771.
[10]魏威,徐应军,张国志.腹腔镜结直肠癌手术应用及发展趋势[J].中国煤炭工业医学杂志,2015,18(11):1952-1956.
[11]熊在平,杨桂姣.不同手术方式对直肠癌患者生存质量的影响[J].中国现代医生,2015,53(36):86-89.
[12]汪健.分析腹腔镜与开腹结直肠癌根治术治疗结直肠癌的临床效果[J].中国继续医学教育,2018,10(4):87-89.
[13]姜艳辉,曲红梅,孙伟,等.腹腔镜和开腹结直肠癌根治术对患者机体炎症免疫反应的影响[J].实用癌症杂志,2015,30(4):491-493,496.
[2]王永平.结直肠癌患者腹腔镜根治术与开腹手术近远期疗效的比较[J].医疗装备,2017,30(14):118-119.
[3]周林荣,姚清深,李晓和.结直肠癌患者腹腔镜手术与开放手术安全性和远期疗效的比较[J].中国肿瘤临床与康复,2016,23(8):906-909.
[4]钱江,黎发家.腹腔镜结直肠癌根治术与开腹手术近远期临床疗效对比[J].现代诊断与治疗,2016,27(18):3429-3430.
[5]朱智军,朱一宁,梁杨眉.腹腔镜与开腹直肠癌根治术近期和远期疗效对比分析[J].中外医疗,2016,35(6):70-71.
[6]方壮伟,袁波,周卫平,等.开放手术与腹腔镜手术治疗直肠癌的安全性及远期疗效比较[J].中国临床研究,2016,29(10):1375-1377,1380.
[7]闫军,李亮.腹腔镜与传统开腹手术治疗直肠癌的安全性及远期疗效比较[J].标记免疫分析与临床,2015,22(2):109-112.
[8]高小平,王举,姜洪伟,等.探讨腹腔镜结直肠癌根治术和开腹手术的应用近远期疗效对比[J].世界最新医学信息文摘,2015,15(A4):89-90.
[9]李焱宁.开腹手术与腹腔镜手术治疗结直肠癌的远期疗效及患者生活质量的对比研究[J].腹腔镜外科杂志,2016,21(10):768-771.
[10]魏威,徐应军,张国志.腹腔镜结直肠癌手术应用及发展趋势[J].中国煤炭工业医学杂志,2015,18(11):1952-1956.
[11]熊在平,杨桂姣.不同手术方式对直肠癌患者生存质量的影响[J].中国现代医生,2015,53(36):86-89.
[12]汪健.分析腹腔镜与开腹结直肠癌根治术治疗结直肠癌的临床效果[J].中国继续医学教育,2018,10(4):87-89.
[13]姜艳辉,曲红梅,孙伟,等.腹腔镜和开腹结直肠癌根治术对患者机体炎症免疫反应的影响[J].实用癌症杂志,2015,30(4):491-493,496.