CAJ | 학술논문

目的：探讨不同术式结肠癌切除术疗效比较和安全性及长期生存分析。方法：以2009年1月-2011年1月本院收治的80例结肠癌切除术患者为研究对象，按随机数字表法分为观察组与对照组，观察组行腹腔镜结肠癌切除术，对照组行常规开腹手术。比较两组患者手术情况、术后情况、并发症发生率和随访情况之间的差异。结果：观察组术中出血量和术后并发症发生率低于对照组，术后情况优于对照组，差异均有统计学意义（P<0.05）；随访中，观察组局部复发率和转移率低于对照组，差异有统计学意义（P<0.05）。结论：腹腔镜结肠癌切除术可以安全、有效的治疗结肠癌，降低术中损伤和术后并发症的发生率，提高临床治疗效果。
목적：탐토불동술식결장암절제술료효비교화안전성급장기생존분석。방법：이2009년1월-2011년1월본원수치적80례결장암절제술환자위연구대상，안수궤수자표법분위관찰조여대조조，관찰조행복강경결장암절제술，대조조행상규개복수술。비교량조환자수술정황、술후정황、병발증발생솔화수방정황지간적차이。결과：관찰조술중출혈량화술후병발증발생솔저우대조조，술후정황우우대조조，차이균유통계학의의（P<0.05）；수방중，관찰조국부복발솔화전이솔저우대조조，차이유통계학의의（P<0.05）。결론：복강경결장암절제술가이안전、유효적치료결장암，강저술중손상화술후병발증적발생솔，제고림상치료효과。
Objective:To investigate the effect and safety of laparoscopic surgery and open surgery in the treatment of colon cancer. Method:80 patients with colon cancer were divided into the objective group and control group according to random number table method. The conventional open surgery was used in the control group and the laparoscopic surgery was used in the objective group. The operation and postoperation degree,complications and postoperative follow-up were compared between the two groups. Result:The intraoperatve blood loss and complications of the objective group were less than the ones of the control group,and postoperation degree of the objective group was better than the that in the control group,the differences were statistically significant(P<0.05). The rate of recurrence and metastasis of the objective group was lower,the difference was statistically significant(P<0.05). Conclusion:It can get a satisfaction effect to use laparoscopic surgery in the treatment of colon cancer,with safer and better clinical effect,less operation damage,and better prognostic level.