中国肿瘤外科杂志
中國腫瘤外科雜誌
중국종류외과잡지
CHINESE MEDICAL DIGEST SURGERY
2014年
6期
356-358
,共3页
腹腔镜%结直肠癌根治术%开腹手术%远期疗效
腹腔鏡%結直腸癌根治術%開腹手術%遠期療效
복강경%결직장암근치술%개복수술%원기료효
laparoscope%radical resection of colorectal cancer%open surgery%long-term outcomes
目的：对比结直肠癌分别行腹腔镜结直肠癌根治术与开腹手术所取得的远期疗效。方法选择金湖县人民医院及江苏省人民医院收治的结直肠癌116例，随机分为观察组与对照组，每组58例。对照组以开腹结直肠癌根治术治疗，观察组以腹腔镜结直肠癌根治术治疗，对比两组患者的临床资料及其远期效果。结果观察组患者的手术时间及住院时间均短于对照组（均 P ＜0．05），术中出血量明显少于对照组（P ＜0．05）；观察组术后并发症发生率为6．9％，对照组为29．3％，两组间差异明显（P ＜0．05）。观察组术后1、3与5年生存率分别为94．8％、86．2％、77．6％，对照组为72．4％、65．5％、55．1％，两组间差异显著（均 P ＜0．05）。结论腹腔镜结直肠癌根治术与开腹手术相比较，手术时间较短，术中出血量较少，可缩短住院时间，在治疗过程中所出现的术后并发症较少，且术后的生存率较高，在临床上可优先选择腹腔镜结直肠癌根治术。
目的：對比結直腸癌分彆行腹腔鏡結直腸癌根治術與開腹手術所取得的遠期療效。方法選擇金湖縣人民醫院及江囌省人民醫院收治的結直腸癌116例，隨機分為觀察組與對照組，每組58例。對照組以開腹結直腸癌根治術治療，觀察組以腹腔鏡結直腸癌根治術治療，對比兩組患者的臨床資料及其遠期效果。結果觀察組患者的手術時間及住院時間均短于對照組（均 P ＜0．05），術中齣血量明顯少于對照組（P ＜0．05）；觀察組術後併髮癥髮生率為6．9％，對照組為29．3％，兩組間差異明顯（P ＜0．05）。觀察組術後1、3與5年生存率分彆為94．8％、86．2％、77．6％，對照組為72．4％、65．5％、55．1％，兩組間差異顯著（均 P ＜0．05）。結論腹腔鏡結直腸癌根治術與開腹手術相比較，手術時間較短，術中齣血量較少，可縮短住院時間，在治療過程中所齣現的術後併髮癥較少，且術後的生存率較高，在臨床上可優先選擇腹腔鏡結直腸癌根治術。
목적：대비결직장암분별행복강경결직장암근치술여개복수술소취득적원기료효。방법선택금호현인민의원급강소성인민의원수치적결직장암116례，수궤분위관찰조여대조조，매조58례。대조조이개복결직장암근치술치료，관찰조이복강경결직장암근치술치료，대비량조환자적림상자료급기원기효과。결과관찰조환자적수술시간급주원시간균단우대조조（균 P ＜0．05），술중출혈량명현소우대조조（P ＜0．05）；관찰조술후병발증발생솔위6．9％，대조조위29．3％，량조간차이명현（P ＜0．05）。관찰조술후1、3여5년생존솔분별위94．8％、86．2％、77．6％，대조조위72．4％、65．5％、55．1％，량조간차이현저（균 P ＜0．05）。결론복강경결직장암근치술여개복수술상비교，수술시간교단，술중출혈량교소，가축단주원시간，재치료과정중소출현적술후병발증교소，차술후적생존솔교고，재림상상가우선선택복강경결직장암근치술。
Objective To compare the long-term outcomes of laparoscopic surgery versus open surgery for colorectal cancer.Methods 116 cases with colorectal cancer after curative resection in Jinhu People's Hospital and Jiangsu Province Hospital were divided into two equal number groups randomly:58 cases of laparoscopic surgery (observation group)and 58 cases of open surgery (control group).The clinical data and long-term out-comes of two groups were compared.Results The data of operation time and hospital stay were shorter in ob-servation group than those in control group (P <0.05).Intra-operative blood loss was significantly less in ob-servation group than that in control group (P <0.05).The operation complications rate was 6.9% in observa-tion group and 29.3% in control group with significant difference (P <0.05).The 1-year,3-year and 5-year survival rate in observation group were 94.8%,86.2%,77.6%,which were 72.4%,65.5%,55.1% in control group,there was significant difference between the two groups(P <0.05).Conclusions Both laparo-scopic surgery and open surgery for colorectal cancer are able to get a certain therapeutic effect,but the thera-peutic effect of laparoscopic surgery is better than that of open surgery for colorectal cancer.Compared with open surgery,the laparoscopic surgery has shorter operation time,less intra-operative blood loss,shorter length of hospitalization,fewer operation complications and higher postoperative survival rate.It is worthwhile to recom-mead and choose laparoscopic surgery for patients with colorectal cancer.
