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目的:探讨和分析腹腔镜手术对结直肠癌治疗的安全性。方法:研究选择2015年8月-2017年8月间在我院治疗的68例结直肠癌患者当做研究对象,遵循患者的入院顺序分甲组、乙组,每组34例。乙组患者通过开腹手术进行治疗,而甲组患者通过腹腔镜手术进行治疗,评价甲乙两组患者的手术时间、术中出血量、术后排气时间、住院时间、导尿管留置时间、淋巴结清扫数量以及并发症发生情况。结果:甲组患者的手术时间大于乙组患者,但差异对比具有统计学意义(t=1.700,P=0.094)。乙组患者的术中出血量大于甲组患者ml,差异对比具有统计学意义(X~2=10.834,P=0.000)。甲组患者的排气时间、住院时间、导尿管留置时间、淋巴结清扫数量都优于乙组患者,差异对比具有统计学意义(t=4.690、7.365、12.724、13.763,P=0.000)。乙组患者并发症的总发生率(35.29%)大于甲组患者(8.82%),差异对比具有统计学意义(X~2=4.203,P=0.040)。结论:在结直肠癌患者的治疗中,尽管腹腔镜手术的手术时间稍高于开腹手术,但腹腔镜手术的术中出血量、术后排气时间、住院时间、导尿管留置时间、淋巴结清扫数量均明显优于开腹手术,并且腹腔镜手术发生并发症的概率明显小于开腹手术。
Objective: To investigate and analyze the safety of laparoscopic surgery in the treatment of colorectal cancer. Methods: Sixty-eight patients with colorectal cancer who were treated in our hospital from August 2015 to August 2017 were selected as study subjects. Patients were followed up in order of admission, group A and group B, 34 cases in each group. Patients in group B were treated by laparotomy, while patients in group A were treated by laparoscopic surgery. The operation time, intraoperative blood loss, postoperative exhaust time, hospital stay, urinary catheter retention time, The number of lymph node dissections and the incidence of complications. Results: The operation time of group A was longer than that of group B, but the difference was statistically significant (t = 1.700, P = 0.094). The blood loss in group B was higher than that in group A, the difference was statistically significant (X ~ 2 = 10.834, P = 0.000). Group A patients with exhaust time, hospital stay, urinary catheter retention time, the number of lymph node dissection are superior to the B group, the difference was statistically significant (t = 4.690,7.365,12.724,13.763, P = 0.000). The total incidence of complications in group B (35.29%) was greater than that in group A (8.82%). The difference was statistically significant (X ~ 2 = 4.203, P = 0.040). Conclusion: In the treatment of patients with colorectal cancer, although the operation time of laparoscopic surgery is slightly higher than that of laparotomy, the intraoperative blood loss, postoperative exhaust time, hospital stay, urinary catheter retention time, The number of lymph node dissection were significantly better than open surgery, and the probability of complications of laparoscopic surgery was significantly less than the open surgery.