CAJ | 학술논문

目的：比较腹腔镜结直肠癌根治术与开腹手术的近远期临床疗效。方法回顾性分析2007年1月至2012年12月在本院行结直肠癌根治性手术的2337例患者的临床和随访资料。结果2007年1月至12月，开腹手术组手术时间和术后并发症优于腹腔镜组（P＜0.05）；腹腔镜组失血量和切口长度优于开腹手术组（P＜0.05）。2008年1月至2012年12月，腹腔镜组失血量、排气时间和切口长度优于开腹手术组（P＜0.05）。两组清扫淋巴结数目、转移淋巴结数目和术后5年生存率比较差异无统计学意义（P＞0.05）。结论腹腔镜结直肠癌根治术具有较好的安全性及可行性，可在有一定腹腔镜手术基础的医院开展。
목적：비교복강경결직장암근치술여개복수술적근원기림상료효。방법회고성분석2007년1월지2012년12월재본원행결직장암근치성수술적2337례환자적림상화수방자료。결과2007년1월지12월，개복수술조수술시간화술후병발증우우복강경조（P＜0.05）；복강경조실혈량화절구장도우우개복수술조（P＜0.05）。2008년1월지2012년12월，복강경조실혈량、배기시간화절구장도우우개복수술조（P＜0.05）。량조청소림파결수목、전이림파결수목화술후5년생존솔비교차이무통계학의의（P＞0.05）。결론복강경결직장암근치술구유교호적안전성급가행성，가재유일정복강경수술기출적의원개전。
Objective To study the short and long effects of laparoscopic vs. open radical rectectomy and colectomy for colorectal cancer. Methods The data of 2 337 cases with colorectal cancer after curative resection from January 2007 to December 2012 were analyzed retrospectively. Results From January 2007 to December 2007, operation time and postoperative complications were better in open surgery group than in laparoscopic surgery group (P<0.05). Blood loss and incision length were better in laparoscopic surgery group than in open surgery group (P<0.05); From January 2008 to December 2012, blood loss, recovery of bowel function and incision length were better in laparoscopic surgery group than in open surgery group (P<0.05). The number of removed lymph nodes, number of metastatic lymph nodes and 5-year survival rate after surgery, there were still no difference between the two groups (P>0.05). Conclusion Laparoscopic radical resection of colorectal cancer is safety and feasibility, and it can be carried out in hospital with certain laparoscopic basis.