CAJ | 학술논문

目的：比较腹腔镜与开腹结直肠癌切除术临床疗效，探讨腹腔镜结直肠癌切除术的临床价值。方法选择2009年6月至2012年1月中山大学孙逸仙纪念医院胃肠外科收治的结直肠癌患者98例作为研究对象，其中52例接受腹腔镜手术，46例接受开腹手术，比较两组结直肠癌患者的手术时间、术中出血量、淋巴结清扫范围、术后腹腔（或盆腔）引流量、术中术后并发症、肛门恢复排气排便时间、术后住院时间等指标。结果腹腔镜组与开腹组清扫淋巴结数目、术中出血量、术中术后并发症发生率差异均无统计学意义；手术时间、术后腹腔（或盆腔）引流量、术后肛门恢复排气排便时间、术后住院时间等方面差异有统计学意义（P<0.05）。结论腹腔镜结直肠癌切除术是可行和安全有效的，与开腹手术对比有较多优点，适合在临床进一步推广应用。
목적：비교복강경여개복결직장암절제술림상료효，탐토복강경결직장암절제술적림상개치。방법선택2009년6월지2012년1월중산대학손일선기념의원위장외과수치적결직장암환자98례작위연구대상，기중52례접수복강경수술，46례접수개복수술，비교량조결직장암환자적수술시간、술중출혈량、림파결청소범위、술후복강（혹분강）인류량、술중술후병발증、항문회복배기배편시간、술후주원시간등지표。결과복강경조여개복조청소림파결수목、술중출혈량、술중술후병발증발생솔차이균무통계학의의；수술시간、술후복강（혹분강）인류량、술후항문회복배기배편시간、술후주원시간등방면차이유통계학의의（P<0.05）。결론복강경결직장암절제술시가행화안전유효적，여개복수술대비유교다우점，괄합재림상진일보추엄응용。
Objective To compare the effect of laparoscopic surgery and open operation in the treatment of colorectal cancer. Methods From June 2009 to January 2012, ninety-eight cases of colorectal cancer were treated, fifty-two of whom underwent laparoscopic surgery and forty-six underwent open surgery. Operation time, volume of blood loss, the total number of lymph nodes, postoperative abdominal or pelvic drainage, intraoperative or postoperative complications, the first exhaust time, and postoperative hospitalization stay were compared. Results There were no significant differences between laparoscopic group and open surgery group in the total number of lymph nodes, blood loss, intraoperative or postoperative complication rate. In the aspects of operative time, postoperative abdominal or pelvic drainage, the first exhaust time, postoperative hospitalization stay, the difference was statistically significant (P< 0.05). Conclusions Laparoscopic colorectal resection is feasible, safe and effective, and has a number of advantages compared with open operation. It is suitable for further clinical application.