CAJ | 학술논문

目的：对比腹腔镜与开腹手术治疗结直肠癌术后肠梗阻的疗效。方法选取2011年6月－2012年6月收治的结直肠癌患者110例，将其随机分为治疗组和对照组各55例，对照组采用开腹手术，治疗组采用腹腔镜下结直肠癌手术，对两组患者术后的住院时间、肛门排气时间、肠梗阻的发生率进行观察和比较。结果治疗组直肠癌手术、右半结肠癌根治术、左半结肠癌根治术后的住院时间和肛门排气时间均小于对照组，差异具有统计学意义（P＜0．05）；治疗组术后肠梗阻的发生率为3．64％，明显优于对照组的10．91％，差异有统计学意义（P＜0．05）。结论相比开腹手术，腹腔镜下结直肠癌手术治疗结直肠癌术后肠梗阻的发生率较小。
목적：대비복강경여개복수술치료결직장암술후장경조적료효。방법선취2011년6월－2012년6월수치적결직장암환자110례，장기수궤분위치료조화대조조각55례，대조조채용개복수술，치료조채용복강경하결직장암수술，대량조환자술후적주원시간、항문배기시간、장경조적발생솔진행관찰화비교。결과치료조직장암수술、우반결장암근치술、좌반결장암근치술후적주원시간화항문배기시간균소우대조조，차이구유통계학의의（P＜0．05）；치료조술후장경조적발생솔위3．64％，명현우우대조조적10．91％，차이유통계학의의（P＜0．05）。결론상비개복수술，복강경하결직장암수술치료결직장암술후장경조적발생솔교소。
Objective To study the effect of the postoperative ileus of laparoscopic surgery versus opensurgeryforcolorectalcancer.Methods 110patientswithcolorectalcancerwhoreceivedtreat-ments in our hospital from June , 2011 to June, 2012 were selected as the research objects and were ran-domly divided into the treatment group and the control group , each with 55 patients.Patients in the con-trol group were treated with conventional open surgery while the ones in the treatment group were treated with laparoscopic surgery .The duration of hospital stay , postoperative anal exhaust time , the incidence of postoperative ileus of the two groups were observed and compared .Results The postoperative anal ex-haust time and the duration of hospital stay of the patients after radical resection of rectal cancer , right colon and left colon of the treatment group were all less than those of the control group ( P<0 .05 ) .The incidence rate of postoperative ileus of the treatment group was 3.64%, which is significantly better than 10 .91%of the control group and the difference had statistical significance ( P<0 .05 ) .Conclusion Compared with open surgery , the incidence rate of postoperative ileus after treatment on colorectal cancer by laparoscopic surgery is lower .