临床普外科电子杂志 ›› 2022, Vol. 10 ›› Issue (2): 21-.

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腹腔镜与开腹手术治疗结直肠癌的临床疗效对比

  

  1. 南京市高淳人民医院 胃肠外科,江苏 南京 211300
  • 出版日期:2022-04-01 发布日期:2022-07-18

Comparison of the clinical efficacy of laparoscopic and open abdominal surgery for colorectal cancer

  1. Gastrointestinal Surgery Department of Nanjing Gaochun People's Hospital, Jiangsu Nanjing 211300, China
  • Online:2022-04-01 Published:2022-07-18

摘要:

目的 探讨腹腔镜与开腹手术治疗结直肠癌的临床疗效。方法 选取南京市高淳人民医院2021年1 月至2021 年12 月接受手术治疗的结直肠癌患者74 例,根据手术方式不同分为研究组(腹腔镜手术)和对照组(开腹手术),各37例,比较两组患者术后的相关情况及疗效。结果 研究组患者的手术时间、住院时间、术后肛门排气时间、患者下床时间及术后进食时间均短于对照组,且术中出血量少于对照组,差异均具有显著性(P < 0.05);研究组患者术后相关并发症发生率少于对照组(P < 0.05)。结论 腹腔镜与开腹手术治疗结直肠癌患者均具有良好的效果,但腹腔镜对患者的创伤更小,安全性更高,更能促进患者快速康复。

关键词: 腹腔镜, 开腹手术, 结直肠癌, 临床疗效

Abstract:

Objective To investigate the clinical efficacy of laparoscopic and open surgery in the treatment of colorectal cancer. Method 74 patients with colorectal cancer who underwent surgery in Nanjing Gaochun People's Hospital from January 2021 to December 2021 were divided into study group (laparoscopic surgery) and control group (open surgery) according to different surgical methods,37 cases in each group . The postoperative related conditions and curative effects of the two groups were compared. Result The operation time, hospital stay, postoperative anal exhaust time, getting out of bed time and postoperative eating time in the study group were shorter than those in the control group, and the amount of intraoperative bleeding was less than that in the control group (P < 0.05); The incidence of postoperative complications in the study group was lower than that in the

control group (P < 0.05). Conclusion Both laparoscopic and open surgery have good results in the treatment of colorectal cancer, but laparoscopy has less trauma, higher safety and can promote the rapid recovery of patients.

Key words: Laparoscopy, Laparotomy, Colorectal cancer, Clinical efficacy