CAJ | 학술논문

目的：分析比较腹腔镜根治术与开腹手术治疗结直肠癌的临床效果，探讨腹腔镜手术治疗结直肠恶性肿瘤的可行性。方法选择南通大学附属医院普外科五(1)组行腹腔镜结直肠癌根治术患者70例及行开腹结直肠癌根治术患者61例，比较术中、术后及并发症情况。结果腹腔镜手术组手术时间显著长于开腹手术组，但术中出血量、住院时间、肛门排气时间、体温恢复时间和镇痛时间等均显著小于开腹手术组，差异有统计学意义(<0.05)；术后并发症也较开腹手术组低(<0.05)。结论腹腔镜结直肠癌根治术具有微创、安全、术后恢复快，其安全可行，效果肯定，值得临床推广。对患者应该尽量选择腹腔镜手术，术后定期复查，以达到更好的手术效果，促进患者的早日康复。
목적：분석비교복강경근치술여개복수술치료결직장암적림상효과，탐토복강경수술치료결직장악성종류적가행성。방법선택남통대학부속의원보외과오(1)조행복강경결직장암근치술환자70례급행개복결직장암근치술환자61례，비교술중、술후급병발증정황。결과복강경수술조수술시간현저장우개복수술조，단술중출혈량、주원시간、항문배기시간、체온회복시간화진통시간등균현저소우개복수술조，차이유통계학의의(<0.05)；술후병발증야교개복수술조저(<0.05)。결론복강경결직장암근치술구유미창、안전、술후회복쾌，기안전가행，효과긍정，치득림상추엄。대환자응해진량선택복강경수술，술후정기복사，이체도경호적수술효과，촉진환자적조일강복。
Objective To compare the clinical ef ect of laparoscopic radical operation and traditional opened surgery on colorectal cancer. Explore the possibility to treat colorectal cancer with laparoscopic radical operation.Methods 70 cases of patients with laparoscopic radical operation and 61 cases of patients with traditional opened surgery were chosen for the comparation of operation conditions and complication. Results The operation time of Laparoscopic surgical was significantly longer than open surgery group, but intraoperative blood loss volume, hospital stay, anal aerofluxus, body temperature recovery time and analgesic time were significantly less than open surgery group( <0.05).Conclusion Laparoscopic radical resection for colorectal cancer was minimal y invasive, safe and speedy recovery, it is ef ective and worth clinical promotion. For the bet er surgery ef ect and early recovery, it should choose laparoscopic operation as soon as possible and be given re-diagnose at regular intervals.