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目的探讨基层医院腹腔镜辅助结直肠癌根治术可行性及疗效。方法腹腔镜辅助结直肠癌根治术30例和同期开腹手术20例,对比分析其临床及手术资料。结果 50例患者均手术成功,腹腔镜组在手术时间、经济花费、淋巴结清扫数量及短期复发率方面与开腹手术组比较均无统计学差异(P>0.05),但腹腔镜组在住院时间、肠道恢复时间、术后进食时间及术中出血量方面均优于开腹手术组(P<0.05),且术后并发症发生率低于开腹手术组(P<0.05)。结论腹腔镜辅助结直肠癌根治术在基层医院开展具有可行性,疗效与开腹组相当,但具有创伤小、恢复快、住院时间短、并发症少等优点,值得推广。
Objective To investigate the feasibility and efficacy of laparoscopic-assisted radical resection of colorectal cancer in primary hospitals. Methods Laparoscopic assisted colorectal cancer radical surgery in 30 cases and open surgery in the same period 20 cases, comparative analysis of clinical and surgical data. Results All the 50 patients were operated successfully. There was no significant difference in operative time, cost, number of lymph node dissection and short-term recurrence between laparoscopic group and laparotomy group (P> 0.05) , Intestinal recovery time, postoperative eating time and intraoperative blood loss were better than those in open surgery group (P <0.05), and the incidence of postoperative complications was lower than that of open surgery group (P <0.05). Conclusions Laparoscopic assisted radical resection of colorectal cancer is feasible in primary hospital, and its efficacy is comparable with that of open laparotomy. However, it has the advantages of less trauma, faster recovery, shorter hospital stay and fewer complications, which is worth promoting.