肿瘤研究与临床
腫瘤研究與臨床
종류연구여림상
CANCER RESEARCH AND CLINIC
2009年
8期
476-478
,共3页
结直肠肿瘤%腹腔镜%外科手术%治疗结果
結直腸腫瘤%腹腔鏡%外科手術%治療結果
결직장종류%복강경%외과수술%치료결과
Coloreetal neoplasms%Laparoseopes%Surgical procedures operative%Treatment outcome
目的 比较结、直肠癌腹腔镜手术与开放手术的优缺点,探讨腹腔镜在结、直肠癌手术中的应用价值.方法 结、直肠癌患者234例,其中腹腔镜手术组103例,开放手术组131例,两组进行对比分析.结果 腹腔镜手术组平均手术时间长,术中失血量少,术后排气时间、进食时间、下地活动时间早,住院时间短(均P<0.05).两组切除肿瘤直径、切除肠系膜淋巴结数、Dixon术肿瘤距下切端长度差异均无统计学意义(P>0.05).腹腔镜手术组患者肠系膜的完整性比开放手术组好(P<0.001).结论 经腹腔镜行结、直肠癌手术安全可行,术中出血少,胃肠功能恢复快、住院时间短,近期效果满意.
目的 比較結、直腸癌腹腔鏡手術與開放手術的優缺點,探討腹腔鏡在結、直腸癌手術中的應用價值.方法 結、直腸癌患者234例,其中腹腔鏡手術組103例,開放手術組131例,兩組進行對比分析.結果 腹腔鏡手術組平均手術時間長,術中失血量少,術後排氣時間、進食時間、下地活動時間早,住院時間短(均P<0.05).兩組切除腫瘤直徑、切除腸繫膜淋巴結數、Dixon術腫瘤距下切耑長度差異均無統計學意義(P>0.05).腹腔鏡手術組患者腸繫膜的完整性比開放手術組好(P<0.001).結論 經腹腔鏡行結、直腸癌手術安全可行,術中齣血少,胃腸功能恢複快、住院時間短,近期效果滿意.
목적 비교결、직장암복강경수술여개방수술적우결점,탐토복강경재결、직장암수술중적응용개치.방법 결、직장암환자234례,기중복강경수술조103례,개방수술조131례,량조진행대비분석.결과 복강경수술조평균수술시간장,술중실혈량소,술후배기시간、진식시간、하지활동시간조,주원시간단(균P<0.05).량조절제종류직경、절제장계막림파결수、Dixon술종류거하절단장도차이균무통계학의의(P>0.05).복강경수술조환자장계막적완정성비개방수술조호(P<0.001).결론 경복강경행결、직장암수술안전가행,술중출혈소,위장공능회복쾌、주원시간단,근기효과만의.
Objective To evaluate the feasibility and short-term outcome of laparoscopic operation for colorectal neoplasm in comparison with open operation procedure for colorectal neoplasm, laparoscopic operation for colorectal neoplasm may be critical in the evolving practice of medieine. Methods 234 cases of colorectal neoplasm were divided into two groups and was analyzed. 103 patients with colorectal neoplasm underwent laparoscopic operation (LCS), while 131 cases received open operation (OCS). Results The mean operating time in laparoscopic operation group was significantly longer than in open operation group (P <0.05). The blood loss was less. Time to pass flatus, time to ambulate and return of bowel function were restored earlier in laparoscopic operation group than that in open operation group (P <0.05). Duration of hospital stay were longer in open operation group than that in laparoscopic operation group (P <0.05). There was not significant difference in the length, distal margin, size of tumors and number of removed lymphatic nodes(P > 0.05) between the two groups. Laparoscopic colorectal resection is better in pathologic sample compared with the traditional open operation procedure. Conclusion Laparoscopic colorectal resection is secure and effective for colorectal neoplasm, and it is with lower blood loss during operation,earlier return of bowel function and shorter hospitalization, and provide better short-term outcome compared with the traditional open procedure.
