CAJ | 학술논문

目的：比较腹腔镜下结肠癌根治术与开腹结肠癌根治术治疗结肠癌的效果。方法选取2013年1月~2014年12月我院收治的88例结肠癌患者,根据入院编号随机分为观察组和对照组,各44例。对照组采用开腹结肠癌根治术方案,观察组则在腹腔镜下行结肠癌根治术,对比两组患者的术中出血量、腹腔引流量、手术时间、住院时间以及肛门排气时间等手术指标,并统计术后并发症发生情况。结果观察组患者的术中出血量、腹腔引流量为(89.5依15.5)、(281.4依92.6)ml,均显著少于对照组,手术时间、住院时间、肛门排气时间分别为(141.5依25.4)min、(8.5依2.2)d、(42.3依10.4)h,均显著短于对照组,差异有统计学意义(P<0.05)；观察组患者术后发生吻合口出血2例,并发症发生率为4.5%,显著低于对照组的20.4%,差异有统计学意义(P<0.05)。结论腹腔镜下结肠癌根治术治疗结肠癌的效果确切,具有创伤小、恢复快、并发症少的优势,值得在临床上推广和应用。
목적：비교복강경하결장암근치술여개복결장암근치술치료결장암적효과。방법선취2013년1월~2014년12월아원수치적88례결장암환자,근거입원편호수궤분위관찰조화대조조,각44례。대조조채용개복결장암근치술방안,관찰조칙재복강경하행결장암근치술,대비량조환자적술중출혈량、복강인류량、수술시간、주원시간이급항문배기시간등수술지표,병통계술후병발증발생정황。결과관찰조환자적술중출혈량、복강인류량위(89.5의15.5)、(281.4의92.6)ml,균현저소우대조조,수술시간、주원시간、항문배기시간분별위(141.5의25.4)min、(8.5의2.2)d、(42.3의10.4)h,균현저단우대조조,차이유통계학의의(P<0.05)；관찰조환자술후발생문합구출혈2례,병발증발생솔위4.5%,현저저우대조조적20.4%,차이유통계학의의(P<0.05)。결론복강경하결장암근치술치료결장암적효과학절,구유창상소、회복쾌、병발증소적우세,치득재림상상추엄화응용。
Objective To compare the effect of laparoscopic colon cancer radical surgery and laparotomic colon cancer radical surgery in the treatment of colon cancer. Methods Eighty-eight patients with colon cancer treated in our hospi-tal from January 2013 to December 2014 were selected and randomly divided into observation group and control group according to the hospital admission number,and there were patients in each group.Control group was given laparotomic colon cancer radical surgery and observation group was given laparoscopic colon cancer radical surgery.Surgical indexes such as intraoperative bleeding amount,peritoneal drainage amount,operative time,hospital stay and anal exhaust time between two groups was compared respectively,and the occurrence of postoperative complications were counted. Results The intraoperative bleeding amount, peritoneal drainage amount [(89.5±15.5) ml,(281.4±92.6) ml respectively] was obvi-ously less than that of control group and operative time,hospital stay and anal exhaust time of observation group [(141.5±25.4) min, (8.5±2.2) d and (42.3±10.4) h respectively] was significantly lower than that of control group,and there was a statistical difference (P<0.05).Postoperative anastomotic stoma bleeding occurred in 2 patients of observa-tion group,and the incidence rate of complication (4.5%) was significantly lower than that of control group (20.4%),and there was a statistical difference (P<0.05). Conclusion Effect of laparoscopic colon cancer radical surgery in the treat-ment of colon cancer is exact,and it has the advantages of small incision,fast recovery and fewer complication,which is worthy of clinical promotion and application.