医药前沿
醫藥前沿
의약전연
YIAYAO QIANYAN
2014年
20期
113-114
,共2页
王光庆%秦成义%李启信%姜藻
王光慶%秦成義%李啟信%薑藻
왕광경%진성의%리계신%강조
结肠癌%腹腔镜%开腹
結腸癌%腹腔鏡%開腹
결장암%복강경%개복
Colon cancer%Laparoscopy%Open surgery
目的：探讨腹腔镜技术在结肠癌根治性手术中的作用。方法：对腹腔镜下结肠癌手术19例与开腹结肠癌手术20例患者手术时间、术中失血量、切缘肿瘤细胞阳性情况、术中淋巴结清扫数，及术后的需要止痛的时间、禁食时间、术后住院时间、术后排气时间、术后下床时间、导尿管留置时间进行比较。结果：实验组手术时间、术中失血量、需要止痛的时间、禁食时间、术后住院时间分别为172.5±15.4min、100.5±10.2ml、1.3±0.4d、3.3±0.8d、8.9±1.8d，3.2±1.1d，3.8±1.4d，3.3±0.5d对照组分别为155.4±16.5m i n、187.5±50.2m l、2.5±0.6d、5.0±1.2d、12.9±1.4d ,4.16±0.9d ,5.9±2.4d ,6.7±0.4d两组比较，存在统计学差异（P＜0.05）。在淋巴结清扫数、切缘阳性率、两组间比较无统计学差异（P＞0.05）。结论：腹腔镜技术在结肠癌根治术中起到减少术中出血，缩短禁食时间，缩短住院时间的作用。
目的：探討腹腔鏡技術在結腸癌根治性手術中的作用。方法：對腹腔鏡下結腸癌手術19例與開腹結腸癌手術20例患者手術時間、術中失血量、切緣腫瘤細胞暘性情況、術中淋巴結清掃數，及術後的需要止痛的時間、禁食時間、術後住院時間、術後排氣時間、術後下床時間、導尿管留置時間進行比較。結果：實驗組手術時間、術中失血量、需要止痛的時間、禁食時間、術後住院時間分彆為172.5±15.4min、100.5±10.2ml、1.3±0.4d、3.3±0.8d、8.9±1.8d，3.2±1.1d，3.8±1.4d，3.3±0.5d對照組分彆為155.4±16.5m i n、187.5±50.2m l、2.5±0.6d、5.0±1.2d、12.9±1.4d ,4.16±0.9d ,5.9±2.4d ,6.7±0.4d兩組比較，存在統計學差異（P＜0.05）。在淋巴結清掃數、切緣暘性率、兩組間比較無統計學差異（P＞0.05）。結論：腹腔鏡技術在結腸癌根治術中起到減少術中齣血，縮短禁食時間，縮短住院時間的作用。
목적：탐토복강경기술재결장암근치성수술중적작용。방법：대복강경하결장암수술19례여개복결장암수술20례환자수술시간、술중실혈량、절연종류세포양성정황、술중림파결청소수，급술후적수요지통적시간、금식시간、술후주원시간、술후배기시간、술후하상시간、도뇨관류치시간진행비교。결과：실험조수술시간、술중실혈량、수요지통적시간、금식시간、술후주원시간분별위172.5±15.4min、100.5±10.2ml、1.3±0.4d、3.3±0.8d、8.9±1.8d，3.2±1.1d，3.8±1.4d，3.3±0.5d대조조분별위155.4±16.5m i n、187.5±50.2m l、2.5±0.6d、5.0±1.2d、12.9±1.4d ,4.16±0.9d ,5.9±2.4d ,6.7±0.4d량조비교，존재통계학차이（P＜0.05）。재림파결청소수、절연양성솔、량조간비교무통계학차이（P＞0.05）。결론：복강경기술재결장암근치술중기도감소술중출혈，축단금식시간，축단주원시간적작용。
Objective: To explore the effect of Laparoscopic technology radical operation in colorectal cancer. Methods: 19 cases were chosen to be studied who underwent radical resection by laparoscopic and 20 by open surgery in our department. To compare operation times, intraoperative blood losses, the positive situation of tumor cells on the cut edge, the number of intraoperative lymph node dissection, and postoperative need analgesic time, abrosia time. hospitalization time. Results: The results of the experiment group of The operative time, intraoperative blood loss, need analgesic time, abrosia time ,post-operative hospitalization time, first flatus time, time of postoperative out-of-bed activity, time of urinary catheterization were 172.4±15.4 min, 100.±10.2 ml, 1.3±0.4 day, 2.3±0.5 day, 8.9±1.8,3.2±1.1 d,3.8±1.4 d ,3.3±0.5 d day respectively. By contrast, those in control group were 155.4±16.5 min, 187.5 ±10.2 ml, 2.5±0.6 day, 5.0±1.2 day, 12.9±1.4, 4.16±0.9d, 5.9±2.4d, 6.7±0.4d day. There was statistical y significant between the two group (P<0.05). The number of the dissection of lymph node, the positive situation of tumor cells on the cut edge were not obvious difference between two groups (P>0.05). Conclusion: the laparoscopic technique in colon carcinoma radical operation may reveal the effects of reduction of intraoperative bleeding in surgery, shorten the fasting time and shorten the hospitalization time.
